Individual
DR. BRIAN CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
16766 BERNARDO CENTER DR STE 100, SAN DIEGO, CA 92128-2501
(858) 485-6781
Mailing address
16766 BERNARDO CENTER DR STE 100, SAN DIEGO, CA 92128-2501
(858) 485-6781
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
55839
CA
Other
Enumeration date
02/19/2008
Last updated
01/09/2020
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