MICAH CHAN

RICHFIELD, MN
NPI1083083323
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223P0300X Dentist, Periodontics
(Licence: MN  S99)
Enumeration Date2015-09-16
Last Update Date2015-09-16
Business Address
Dr. MICAH CHAN D.M.D., M.S.
6601 LYNDALE AVE S
RICHFIELD, MN 55423-2477
Phone number: 612-243-9357
Mailing Address
Dr. MICAH CHAN D.M.D., M.S.
8301 STANLEY RD APT #114
BLOOMINGTON, MN 55437-1282
Phone number: 612-910-6203