Organization
BRIAN H CHAN, DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN H CHAN DDS (PRESIDENT)
(858) 485-6781
Entity
Organization
Contact information
Practice address
16766 BERNARDO CENTER DR STE 100A, SAN DIEGO, CA 92128-2501
(858) 485-6781
Mailing address
16766 BERNARDO CENTER DR STE 100A, SAN DIEGO, CA 92128-2501
(858) 485-6781
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
55839
CA
Other
Enumeration date
11/15/2011
Last updated
01/16/2013
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