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1508185273
LISA S CHAN
SANTA MONICA, CA
NPI
1508185273
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 034940)
Enumeration Date
2010-05-20
Last Update Date
2010-05-20
Business Address
Dr. LISA S CHAN
1551 OCEAN AVE STE 260
SANTA MONICA, CA 90401-2112
Phone number: 310-395-2345
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Mailing Address
Dr. LISA S CHAN
1551 OCEAN AVE STE 260
SANTA MONICA, CA 90401-2112
Phone number: 310-395-2345
Copy
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