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Dr. Ivan Chan
General Practice Dentistry in Los Angeles, California
NPI 1306572359

Ivan Chan is a General Practice Dentistry based in Elk Grove, CA and is specialized in General Practice. Ivan Chan practices in Los Angeles, CA. The NPI Number for Ivan Chan is 1306572359 and holds a License No. 107682 (California).

The current practice location address for Ivan Chan is 255 S Grand Ave Ste 204, Los Angeles, CA and can be reached out via phone at 916-690-1508.

Location: 255 S Grand Ave Ste 204, Los Angeles, CA, 95758-6361
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306572359
Provider Name
Ivan Chan
Credential
Provider Entity Type
Individual
Gender
Male
Address
255 S Grand Ave Ste 204, Los Angeles, CA, 95758-6361
Phone Number
916-690-1508
Fax Number
Provider Enumeration Date
07/30/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
255 S Grand Ave Ste 204
City
Los Angeles
State
California
Zip
90012-3035
Phone Number
916-690-1508
Fax Number
person
Provider Business Mailing Address Details
Address
255 S Grand Ave Ste 204
City
Los Angeles
State
California
Zip
90012-3035
Phone Number
916-690-1508
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
107682 (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.
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