Individual
ERIC JUSTIN CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
370 W PLEASANTVIEW AVE STE 14A, HACKENSACK, NJ 07601-8004
(201) 305-0903
Mailing address
370 W PLEASANTVIEW AVE STE 14A, HACKENSACK, NJ 07601-8004
(347) 553-6278
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI03037300
NJ
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/20/2023
Last updated
09/09/2024
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