Individual
DR. PRISCILLA O. CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
171 CARPENTER HILL DRIVE, BUDA, TX 78610
(732) 710-8304
Mailing address
302 CYPRESS FOREST DR, KYLE, TX 78640-2187
(732) 710-8304
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
22DI02752800
NJ
1223P0221X
Pediatric Dentistry
Primary
36009
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/02/2018
Last updated
11/17/2023
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