Individual
DR. JOHN CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-2657
Mailing address
1819 KUMAKANI PL, HONOLULU, HI 96821-1327
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
51555
CA
Other
Enumeration date
03/24/2006
Last updated
07/08/2007
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