Individual
DR. BERT CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4002 US HIGHWAY 9, MORGANVILLE, NJ 07751-1577
(732) 970-0900
Mailing address
2034 71ST ST, BROOKLYN, NY 11204-5801
(718) 259-4345
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02875200
NJ
1223G0001X
General Practice Dentistry
DS041900
PA
Other
Enumeration date
02/14/2017
Last updated
06/30/2022
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