Organization
CHANDENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY CHAN DDS (OWNER)
(602) 448-9443
Entity
Organization
Contact information
Practice address
4427 S RURAL RD STE 2, TEMPE, AZ 85282-7061
(480) 897-2274
Mailing address
4427 S RURAL RD STE 2, TEMPE, AZ 85282-7061
(480) 897-2274
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/21/2020
Last updated
04/21/2020
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