IVAN CHAN

LOS ANGELES, CA
NPI1306572359
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  107682)
Enumeration Date2022-07-30
Last Update Date2022-07-30
Business Address
Dr. IVAN CHAN
255 S GRAND AVE STE 204
LOS ANGELES, CA 90012-3035
Phone number: 916-690-1508
Mailing Address
Dr. IVAN CHAN
6704 ESKRIDGE WAY
ELK GROVE, CA 95758-6361
Phone number: 916-690-1508
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