Individual provider · NPI-1

Clayton Joseph Chan, DDS

Dentist, General Practice · Rosemead, CA

NPI number1982129599
StatusActive
Last updated in NPPESAug 4, 2017

Details

NPI
1982129599
Entity type
Individual (NPI-1)
Name
Clayton Joseph Chan
Credential
DDS
Sex
Male
Sole proprietor
No
Enumeration date
Aug 4, 2017
Last updated
Aug 4, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice101780CAYes

Practice location

7556 Garvey Ave
Rosemead, CA 91770-2960

Phone 626-573-2000

Mailing address

7556 Garvey Ave
Rosemead, CA 91770-2960

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