DR. Charlene Renee Chan, D.D.S., M.S.D.
NPI #1043349111 in Sebastopol, California
Provider Information
- NPI Number
- 1043349111
- Entity Type
- Individual
- Name
- DR. Charlene Renee Chan, D.D.S., M.S.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - Orthodontics and Dentofacial Orthopedics
- Credential
- D.D.S., M.S.D.
- Enumeration Date
- Mar 5, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 6800 PALM AVE
- Address 2
- SUITE B
- City
- Sebastopol
- State
- California
- ZIP Code
- 95472-4269
- Phone
- (707) 823-1200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
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