Owen Tobias Chan, DDS Valid NPI
Individual provider · Dentist · Berkeley, CA
- NPI
- 1689405888
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 110513 (CA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2024-08-09
- Last updated
- 2024-08-09
Practice location
1860 Alcatraz Ave
Berkeley, CA 94703-2715
(510) 981-4100