| Chan Family Dentistry General Partnership | |
|
15522 Hesperian Blvd San Lorenzo CA 94580-1609 | |
| (510) 481-1552 | |
| (510) 481-8800 |
| Full Name | Chan Family Dentistry General Partnership |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 15522 Hesperian Blvd, San Lorenzo, California |
| Authorized Official Name and Position | Carlton David Chan (PARTNER) |
| Authorized Official Contact | 5105128037 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chan Family Dentistry General Partnership 15522 Hesperian Blvd San Lorenzo CA 94580-1609 Ph: (510) 481-1552 | Chan Family Dentistry General Partnership 15522 Hesperian Blvd San Lorenzo CA 94580-1609 Ph: (510) 481-1552 |
| NPI Number | 1194404673 |
|---|---|
| Provider Enumeration Date | 07/13/2023 |
| Last Update Date | 07/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194404673 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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