Organization
DAVID A CHIN DDS APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID ALAN CHIN DDS (PRESIDENT)
(818) 790-6721
Entity
Organization
Contact information
Practice address
1808 VERDUGO BLVD, SUITE 312, GLENDALE, CA 91208-1456
(818) 790-6721
(818) 790-6810
Mailing address
1808 VERDUGO BLVD, SUITE 312, GLENDALE, CA 91208-1456
(818) 790-6721
(818) 790-6810
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
30426
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B3042601
STATE OF CA
CA
Enumeration date
01/26/2007
Last updated
05/20/2013
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