Individual
DR. JAMIE CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
11207 QUEENS BLVD, FOREST HILLS, NY 11375
(718) 268-8228
Mailing address
11207 QUEENS BLVD, FOREST HILLS, NY 11375-8311
(718) 268-8228
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
056773
NY
Other
Enumeration date
03/28/2012
Last updated
07/31/2013
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