Individual
CYNTHIA M CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
3131 O ST, LINCOLN, NE 68510-1534
(402) 441-8014
Mailing address
3131 O ST, LINCOLN, NE 68510-1534
(916) 591-2148
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
6017
NE
Other
Enumeration date
02/12/2007
Last updated
02/08/2019
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