1508997784

Everything you always wanted to know about DR. CHAN TED D.M.D. but were afraid to ask.

DR. CHAN TED D.M.D.

You can also download the this 1508997784 data report as csv | excel | json | xml
Provider Prefix Provider Last Name Provider First Name Provider Credential
DR. CHAN TED D.M.D.
Gender:
Male
Enumeration date:
2007-03-08
Last update date:
2007-07-08
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
No
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Identifiers

identifier description issuer state

Taxonomies

Taxonomy State License Number Primary?
1223E0200X Endodontics CA 44153

Phone Numbers

Type Number
Mailing Address Telephone Number 5622096373
Practice Location Address Telephone Number 5625957077
Mailing Address Fax Number 5626088356
Practice Location Address Fax Number 5626088356

Addresses

Type Address City State Postal Country
Mailing Address 3200 SAN FRANCISCO AVE LONG BEACH CA 90806 CA
Practice Location Address 816 W WILLOW ST LONG BEACH CA 0 CA