Justin Chan DDS

NPI #1205661600 in Kamuela, Hawaii

Provider Information

NPI Number: 1205661600
Entity Type: Organization
Organization Name: Justin Chan DDS
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Sep 4, 2024
Last Updated: Jan 16, 2025

Practice Location

Address: 65-1230 MAMALAHOA HWY STE A21
City: Kamuela
State: Hawaii
ZIP Code: 96743-7317
Phone: (586) 556-0220

Authorized Official

Name: DR. JUSTIN CHAN, DDS
Title: DENTIST
Phone: (586) 556-0220

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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