Individual
DR. KEI CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
299 W 12TH ST, SUITE 1 AB, NEW YORK, NY 10014-1801
(646) 643-6099
Mailing address
299 WEST 12TH STREET, SUITE 1 AB, NEW YORK, NY 10014
(646) 643-6099
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
056189
NY
Other
Enumeration date
08/14/2012
Last updated
08/14/2012
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