DR. Ivan Chan
NPI #1306572359 in Glendale, California
Provider Information
- NPI Number
- 1306572359
- Entity Type
- Individual
- Name
- DR. Ivan Chan
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 30, 2022
- Last Updated
- Oct 15, 2024
Practice Location
- Address
- 435 ARDEN AVE STE 570
- City
- Glendale
- State
- California
- ZIP Code
- 91203-1143
- Phone
- (916) 690-1508
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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