Clayton Chan DDS INC
Dentist, General Practice in Rosemead, CA. Organization (NPI-2).
NPI number1912425463
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1912425463
- Entity type
- Organization (NPI-2)
- Legal business name
- Clayton Chan DDS INC
- Organization subpart
- No
- Enumeration date
- Sep 5, 2017
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 101780 | CA | Yes |
Practice location
7556 Garvey AveRosemead, CA 91770-2960
Phone 626-573-2000
Mailing address
7556 Garvey AveRosemead, CA 91770-2960
Phone 626-573-2000
Authorized official
Clayton Joseph Chan
Ceo
6265732000
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