Individual
DR. DAVID LANE CHANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
104 W 3RD ST, PORT ANGELES, WA 98362-2825
(360) 452-9744
(360) 452-5861
Mailing address
3808 PARK KNOLL DR, PORT ANGELES, WA 98362-3738
(360) 452-3267
(360) 417-3841
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00004327
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55052-01
—
WA
01
—
833406
UNITED CONCORDIA
WA
Enumeration date
12/08/2006
Last updated
07/09/2007
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