Individual
DR. KIMBERLEY MARIE CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
100 E NEWTON ST, 7TH FLOOR-ROOM G716, BOSTON, MA 02118-2308
(617) 638-4636
Mailing address
822 BEACON ST APT 4, BOSTON, MA 02215-3151
(617) 969-6248
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DL 11586
MA
Other
Enumeration date
07/18/2012
Last updated
07/18/2012
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