Individual
DR. CHRISTOPHER CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
150 55TH ST, BROOKLYN, NY 11220-2508
(617) 959-9209
Mailing address
311 W 43RD ST STE 405, NEW YORK, NY 10036-6024
(917) 362-2439
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
058679
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/15/2016
Last updated
05/03/2019
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