Individual provider · Type 1 NPI

Ivan Chan

General Practice Dentistry · Glendale, CA

NPI number 1306572359 Active

About NPI 1306572359

Ivan Chan's National Provider Identifier is 1306572359, issued on Jul 30, 2022. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Glendale, CA. The record was last updated on Oct 15, 2024.