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1083083323
MICAH CHAN
RICHFIELD, MN
NPI
1083083323
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0300X Dentist, Periodontics
(Licence: MN S99)
Enumeration Date
2015-09-16
Last Update Date
2015-09-16
Business Address
Dr. MICAH CHAN D.M.D., M.S.
6601 LYNDALE AVE S
RICHFIELD, MN 55423-2477
Phone number: 612-243-9357
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Mailing Address
Dr. MICAH CHAN D.M.D., M.S.
8301 STANLEY RD APT #114
BLOOMINGTON, MN 55437-1282
Phone number: 612-910-6203
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