Individual
ESTEBAN CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
12 S HOLMDEL RD, HOLMDEL, NJ 07733-2130
(732) 946-4644
(732) 946-2546
Mailing address
12 S HOLMDEL RD, HOLMDEL, NJ 07733-2130
(732) 946-4644
(732) 946-2546
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DI02076102
NJ
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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