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1609176890
CLIFTON RAYMOND CHAN
SAN LORENZO, CA
NPI
1609176890
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 59849)
Enumeration Date
2010-10-22
Last Update Date
2010-10-22
Business Address
Dr. CLIFTON RAYMOND CHAN DDS
15522 HESPERIAN BLVD
SAN LORENZO, CA 94580-1609
Phone number: 510-481-1552
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Mailing Address
Dr. CLIFTON RAYMOND CHAN DDS
15522 HESPERIAN BLVD
SAN LORENZO, CA 94580-1609
Phone number: 510-481-1552
Copy
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