Individual provider · Type 1 NPI
Charlene Renee Chan, DDS, M.S.D.
Orthodontics and Dentofacial Orthopedics Dentistry · Sebastopol, CA
Practice location
6800 Palm Ave, Suite B
Sebastopol, CA 95472-4269
Fax (707) 823-5363
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 036066 (CA) |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
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- James Kelso Gude, MDCritical Care Medicine (Internal Medicine) Physician Sebastopol, CA NPI 1235194697
- Jason Cunningham, DOFamily Medicine Physician Sebastopol, CA NPI 1811990237
- Nancy Alice Davidson, MDFamily Medicine Physician Sebastopol, CA NPI 1417959453
- Rhonda Berney, MDFamily Medicine Physician Sebastopol, CA NPI 1174617708
- Richard E. Powers, MDAdult Medicine Physician Sebastopol, CA NPI 1154326601
About NPI 1043349111
Charlene Renee Chan, DDS, M.S.D.'s National Provider Identifier is 1043349111, issued on Mar 5, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Sebastopol, CA. The record was last updated on Jul 8, 2007.