Michael Chan, DMD Valid NPI
Individual provider · General Practice Dentistry · Rolling Hills Estates, CA
- NPI
- 1073128427
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 105505 (CA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2020-09-12
- Last updated
- 2022-10-10
Practice location
827 Deep Valley Dr Ste 206
Rolling Hills Estates, CA 90274-3654
(310) 428-5861