Individual
DR. LILY CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
485 NEW BRUNSWICK AVE, SUITE 200, PERTH AMBOY, NJ 08861-3675
(732) 442-5151
Mailing address
485 NEW BRUNSWICK AVENUE, SUITE 200, PERTH AMBOY, NJ 08861
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02257700
NJ
1223G0001X
General Practice Dentistry
DS036169
PA
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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