Individual
DR. STEPHEN CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1425 MONTGOMERY RD, RED BLUFF, CA 96080-4605
(530) 528-8600
Mailing address
3973 STEIN CT, SOUTH SAN FRANCISCO, CA 94080-3948
(408) 410-4276
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
D9575
AZ
1223G0001X
General Practice Dentistry
59948
CA
Other
Enumeration date
07/08/2011
Last updated
12/13/2016
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