Michelle Chan, DDS

NPI #1720711104 in Blackwell, Oklahoma

Provider Information

NPI Number: 1720711104
Entity Type: Individual
Name: Michelle Chan, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jul 5, 2022
Last Updated: Jul 5, 2022

Practice Location

Address: 1520 S MAIN ST
City: Blackwell
State: Oklahoma
ZIP Code: 74631-4921
Phone: (864) 260-7285

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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