| NPI | 1598465338 |
|---|---|
| Former Name | CORDELIA CHAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MA DN1859871) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: MI DN2901602463) |
| Enumeration Date | 2023-03-09 |
| Last Update Date | 2026-03-02 |