Individual
DR. CLIFFORD J CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
9098 LAGUNA MAIN ST, SUITE #8, ELK GROVE, CA 95758-7449
(916) 683-7300
Mailing address
9098 LAGUNA MAIN ST, SUITE #8, ELK GROVE, CA 95758-7449
(916) 683-7300
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
26044
CA
Other
Enumeration date
01/02/2007
Last updated
07/08/2007
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