Individual
TERENCE CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1122 S LINDEN RD, BUILDING E, FLINT, MI 48532-3437
(810) 732-0640
(810) 732-2264
Mailing address
1122 S LINDEN RD, BUILDING E, FLINT, MI 48532-3437
(810) 732-0640
(810) 732-2264
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
17250
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4863058
—
MI
Enumeration date
08/24/2006
Last updated
06/03/2009
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