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Individual

ALLISON CHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
1820 N PERRIS BLVD, PERRIS, CA 92571-2703
(951) 349-4106
Mailing address
1156 RANGER RD, FALLBROOK, CA 92028-8211

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
107785
CA

Other

Enumeration date
09/15/2022
Last updated
09/15/2022
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