DR. Lorie Lee Chan, DDS
NPI #1760477384 in Vandenberg Afb, California
Provider Information
- NPI Number
- 1760477384
- Entity Type
- Individual
- Name
- DR. Lorie Lee Chan, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Sep 20, 2005
- Last Updated
- Jul 17, 2009
Practice Location
- Address
- 338 S DAKOTA AVE
- Address 2
- STE 1-1300
- City
- Vandenberg Afb
- State
- California
- ZIP Code
- 93437-6307
- Phone
- (323) 788-6953
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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