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Wai Chan, DDS
Pediatric Dentist in Fresno, California
NPI 1104185784

Wai Chan is a Pediatric Dentist based in Fresno, CA and is specialized in Pediatric Dentistry. Wai Chan practices in Fresno, CA and has the professional credentials of DDS. The NPI Number for Wai Chan is 1104185784 and holds a License No. 056876 (California).

The current practice location address for Wai Chan is 6245 N Fresno St Ste 103, Fresno, CA and can be reached out via phone at 559-554-9999. You can also correspond with Wai Chan through the mailing address at 6245 N FRESNO ST STE 103, FRESNO, CA - 93710-5270 (mailing address contact number: 559-554-9999).

Location: 6245 N Fresno St Ste 103, Fresno, CA, 93710-5270
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104185784
Provider Name
Wai Chan
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
6245 N Fresno St Ste 103, Fresno, CA, 93710-5270
Phone Number
559-554-9999
Fax Number
Provider Enumeration Date
05/16/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6245 N Fresno St Ste 103
City
Fresno
State
California
Zip
93710
Phone Number
559-554-9999
Fax Number
person
Provider Business Mailing Address Details
Address
6245 N Fresno St Ste 103
City
Fresno
State
California
Zip
93710-5270
Phone Number
559-554-9999
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
DDS103801 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
R670 (Minnesota)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
056876 (New York)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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