JACK W. CHAN

OCEANSIDE, CA
NPI1891799714
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  48585)
Enumeration Date2005-06-09
Last Update Date2007-07-08
Business Address
Dr. JACK W. CHAN DDS
818 CIVIC CENTER DR
OCEANSIDE, CA 92054-2506
Phone number: 760-722-4765
Mailing Address
Dr. JACK W. CHAN DDS
818 CIVIC CENTER DR
OCEANSIDE, CA 92054-2506
Phone number: 760-722-4765
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