Organization
CHAN & CHAN DDS INC
Active
Other names
San Gabriel Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAYMAN CHAN DDS (PRESIDENT)
(415) 819-2877
Entity
Organization
Contact information
Practice address
6909 ROSEMEAD BLVD, SAN GABRIEL, CA 91775-1412
(626) 799-8068
Mailing address
6909 ROSEMEAD BLVD, SAN GABRIEL, CA 91775-1412
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
53581
CA
Other
Enumeration date
10/10/2007
Last updated
10/10/2007
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