Individual
DR. JUSTIN CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
65-1230 MAMALAHOA HWY STE A21, KAMUELA, HI 96743-7317
(808) 885-8465
Mailing address
65-1230 MAMALAHOA HWY STE A21, KAMUELA, HI 96743-7317
(586) 556-0220
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2901600517
MI
1223G0001X
General Practice Dentistry
Primary
DT-3140
HI
Other
Enumeration date
06/20/2020
Last updated
03/25/2025
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