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1407156375
JOHN M CHAN
LIVERMORE, CA
NPI
1407156375
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 48891)
Enumeration Date
2010-10-26
Last Update Date
2010-11-04
Business Address
Dr. JOHN M CHAN DDS
54 FENTON ST
LIVERMORE, CA 94550-4144
Phone number: 925-455-1232
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Mailing Address
Dr. JOHN M CHAN DDS
54 FENTON ST
LIVERMORE, CA 94550-4144
Phone number: 925-455-1232
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