Ken Chan Dds Inc | |
1176 Olivewood Dr Merced CA 95348-1210 | |
(209) 600-7123 | |
(209) 349-8077 |
Full Name | Ken Chan Dds Inc |
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Speciality | Dentist - General Practice |
Location | 1176 Olivewood Dr, Merced, California |
Authorized Official Name and Position | Ken Chan (PRESIDENT) |
Authorized Official Contact | 2096007123 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ken Chan Dds Inc 1176 Olivewood Dr Merced CA 95348-1210 Ph: (209) 600-7123 | Ken Chan Dds Inc 1176 Olivewood Dr Merced CA 95348-1210 Ph: (209) 600-7123 |
NPI Number | 1043624844 |
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Provider Enumeration Date | 06/19/2014 |
Last Update Date | 06/19/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043624844 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 45436 (California) | Primary |
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