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Dr. Priscilla O. Chan, DDS
Pediatric Dentist in Buda, Texas
NPI 1629570924

Priscilla O. Chan is a Pediatric Dentist based in Kyle, TX and is specialized in Pediatric Dentistry. Priscilla O. Chan practices in Buda, TX and has the professional credentials of DDS. The NPI Number for Priscilla O. Chan is 1629570924 and holds a License No. (Texas).

The current practice location address for Priscilla O. Chan is 171 Carpenter Hill Drive, Buda, TX and can be reached out via phone at 732-710-8304.

Location: 171 Carpenter Hill Drive, Buda, TX, 78640-2187
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629570924
Provider Name
Priscilla O. Chan
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
171 Carpenter Hill Drive, Buda, TX, 78640-2187
Phone Number
732-710-8304
Fax Number
Provider Enumeration Date
03/02/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
171 Carpenter Hill Drive
City
Buda
State
Texas
Zip
78610
Phone Number
732-710-8304
Fax Number
person
Provider Business Mailing Address Details
Address
171 Carpenter Hill Drive
City
Buda
State
Texas
Zip
78610
Phone Number
732-710-8304
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
36009 (Texas)
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 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
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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