Individual
DR. MAEMIE MING MING CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
8101 EUCLID AVENUE, CLEVELAND, OH 44103
(216) 229-7440
(216) 229-2501
Mailing address
206 W. 6TH, STILLWATER, OK 74074
(405) 707-6135
(405) 707-0602
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
28193
TX
122300000X
Dentist
30-023179
OH
122300000X
Dentist
Primary
30.023179
OH
Other
Enumeration date
06/09/2010
Last updated
11/29/2012
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