Organization · Type 2 NPI

Susie T Chan DDS A Professional Dental Corportation

Dental Clinic/Center · San Diego, CA

NPI number 1134473408 Active

Practice location

16918 Dove Canyon Rd, Ste 201
San Diego, CA 92127-3501

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000X57743 (CA)

Dental Clinic/Center: Definition to come...

7 other providers at this address

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About NPI 1134473408

Susie T Chan DDS A Professional Dental Corportation's National Provider Identifier is 1134473408, issued on Nov 7, 2012. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in San Diego, CA. The record was last updated on Nov 7, 2012.