Angela Suk-Man Chan, DDS
Dentist in Palmdale, CA. Individual provider (NPI-1).
NPI number1972023307
StatusActive
Last updated in NPPESOct 30, 2024
Details
- NPI
- 1972023307
- Entity type
- Individual (NPI-1)
- Name
- Angela Suk-Man Chan
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 27, 2017
- Certification date
- Oct 30, 2024
- Last updated
- Oct 30, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 110293 | CA | Yes |
| 122300000X | Dentist | D009790 | AZ |
Practice location
2151 E Palmdale BlvdPalmdale, CA 93550-4037
Phone 562-867-7999
Mailing address
5650 Jillson StCommerce, CA 90040-1482
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