Individual
DR. CLIFTON RAYMOND CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
15522 HESPERIAN BLVD, SAN LORENZO, CA 94580-1609
(510) 481-1552
Mailing address
15522 HESPERIAN BLVD, SAN LORENZO, CA 94580-1609
(510) 481-1552
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
59849
CA
Other
Enumeration date
10/22/2010
Last updated
10/22/2010
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