| Justin Chan Dds | |
|
65-1230 Mamalahoa Hwy Ste A21 Kamuela HI 96743-7317 | |
| (586) 556-0220 | |
| Not Available |
| Full Name | Justin Chan Dds |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 65-1230 Mamalahoa Hwy Ste A21, Kamuela, Hawaii |
| Authorized Official Name and Position | Justin Chan (DENTIST) |
| Authorized Official Contact | 5865560220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Chan Dds 65-1230 Mamalahoa Hwy Ste A21 Kamuela HI 96743-7317 Ph: (586) 556-0220 | Justin Chan Dds 65-1230 Mamalahoa Hwy Ste A21 Kamuela HI 96743-7317 Ph: (586) 556-0220 |
| NPI Number | 1205661600 |
|---|---|
| Provider Enumeration Date | 09/04/2024 |
| Last Update Date | 01/16/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205661600 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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