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POLLY CHUNG-PEI CHAN D.D.S.
>> Dentist >> Dental ProvidersRegistrant NPI Number: 1396124491
Individual Registrant: POLLY CHUNG-PEI CHAN D.D.S.
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
581 FOSTER CITY BLVD FOSTER CITY, CA 94404-1695 US
Tel: 650-286-9999 Fax: 650-286-9986
Tel: 650-286-9999 Fax: 650-286-9986
Contact information for business:
581 FOSTER CITY BLVD FOSTER CITY, CA 94404-1695 US
Tel: 650-286-9999 Fax: 650-286-9986
Tel: 650-286-9999 Fax: 650-286-9986
Registration Information:
NPI: 1396124491
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 122300000X | Dental Providers Dentist | CA | 41166 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
