| Alan P Chun Dds Md Inc | |
|
9301 Fircrest Ln Suite 6 San Ramon CA 94583-3960 | |
| (925) 833-8516 | |
| (925) 833-8347 |
| Full Name | Alan P Chun Dds Md Inc |
|---|---|
| Speciality | Dentist |
| Location | 9301 Fircrest Ln, San Ramon, California |
| Authorized Official Name and Position | Alan P Chun (ORAL SURGEON) |
| Authorized Official Contact | 9258338516 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alan P Chun Dds Md Inc 9301 Fircrest Ln Suite 6 San Ramon CA 94583-3960 Ph: (925) 833-8516 | Alan P Chun Dds Md Inc 9301 Fircrest Ln Suite 6 San Ramon CA 94583-3960 Ph: (925) 833-8516 |
| NPI Number | 1104907823 |
|---|---|
| Provider Enumeration Date | 10/18/2006 |
| Last Update Date | 05/07/2010 |
| Medicare PECOS PAC ID | 4688869597 |
|---|---|
| Medicare Enrollment ID | O20101117000268 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104907823 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0106X | Dentist - Oral And Maxillofacial Pathology | OMS25 (California) | Primary |
| Provider Name | Alan Patrick Chun |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1013008598 PECOS PAC ID: 1951596873 Enrollment ID: I20101117000405 |
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