Individual
DR. ADRIANA JADE CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
NAVAL HOSPITAL CAMP PENDLETON, 200 MERCY CIRCLE, CAMP PENDLETON, CA 92055
(626) 466-8677
Mailing address
NAVAL HOSPITAL CAMP PENDLETON, 200 MERCY CIRCLE, CAMP PENDLETON, CA 92055
(760) 725-1288
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D011561
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
VAD0000
—
CA
Enumeration date
08/23/2022
Last updated
08/26/2022
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