Individual
HSUN LIANG CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
305 W 12TH AVE, COLUMBUS, OH 43210-1267
(614) 292-1472
(734) 763-5503
Mailing address
305 W 12TH AVE, COLUMBUS, OH 43210-1267
(614) 292-1472
(614) 688-3553
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2901020453
MI
1223P0300X
Periodontics
Primary
71.000285
OH
Other
Enumeration date
06/20/2011
Last updated
11/29/2023
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