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1023713286
JUSTIN CHAN
ELMHURST, NY
NPI
1023713286
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: NY 064107)
Enumeration Date
2023-04-04
Last Update Date
2024-08-20
Business Address
Dr. JUSTIN CHAN DDS
8616 WHITNEY AVE
ELMHURST, NY 11373-3865
Phone number: 718-651-6581
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Mailing Address
Dr. JUSTIN CHAN DDS
4026 171ST ST
FLUSHING, NY 11358-2720
Phone number: 718-913-0279
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