Chan Family Dentistry General Partnership
NPI #1194404673 in San Lorenzo, California
Provider Information
- NPI Number
- 1194404673
- Entity Type
- Organization
- Organization Name
- Chan Family Dentistry General Partnership
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jul 13, 2023
- Last Updated
- Jul 13, 2023
Practice Location
- Address
- 15522 HESPERIAN BLVD
- City
- San Lorenzo
- State
- California
- ZIP Code
- 94580-1609
- Phone
- (510) 481-1552
Authorized Official
- Name
- DR. CARLTON DAVID CHAN, DDS
- Title
- PARTNER
- Phone
- (510) 512-8037
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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