Individual
DR. CHI F CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
210 CANAL ST RM 609, NEW YORK, NY 10013-4163
(212) 385-0001
(212) 385-0002
Mailing address
210 CANAL ST RM 609, NEW YORK, NY 10013-4163
(212) 385-0001
(212) 385-0002
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
39012
NY
Other
Enumeration date
01/18/2007
Last updated
07/08/2007
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