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Susie T Chan Dds A Professional Dental Corportation
Dental Clinic/Center in San Diego, California
NPI 1134473408

Susie T Chan Dds A Professional Dental Corportation is a Dental Clinic/Center based in San Diego, CA and is specialized in Dental. Susie T Chan Dds A Professional Dental Corportation practices in San Diego, CA. The NPI Number for Susie T Chan Dds A Professional Dental Corportation is 1134473408 and holds a License No. 57743 (California).

The current practice location address for Susie T Chan Dds A Professional Dental Corportation is 16918 Dove Canyon Rd, San Diego, CA and can be reached out via phone at 858-924-1000.

Location: 16918 Dove Canyon Rd, San Diego, CA, 92127-3501
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134473408
Provider Name
Susie T Chan Dds A Professional Dental Corportation
Credential
Provider Entity Type
Organization
Address
16918 Dove Canyon Rd, San Diego, CA, 92127-3501
Phone Number
858-924-1000
Fax Number
Provider Enumeration Date
11/07/2012
Last Update Date
02/15/2025
institution
Provider Business Practice Location Address Details
Address
16918 Dove Canyon Rd
City
San Diego
State
California
Zip
92127-3501
Phone Number
858-924-1000
Fax Number
person
Provider Business Mailing Address Details
Address
16918 Dove Canyon Rd
City
San Diego
State
California
Zip
92127-3501
Phone Number
858-924-1000
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
57743 (California)
Definition
Definition to come...
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