DR. Clifton Raymond Chan, DDS

NPI #1609176890 in San Lorenzo, California

Provider Information

NPI Number: 1609176890
Entity Type: Individual
Name: DR. Clifton Raymond Chan, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Oct 22, 2010
Last Updated: Oct 22, 2010

Practice Location

Address: 15522 HESPERIAN BLVD
City: San Lorenzo
State: California
ZIP Code: 94580-1609
Phone: (510) 481-1552

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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