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POLLY CHUNG-PEI CHAN D.D.S.

>> Dentist >> Dental Providers

Registrant NPI Number: 1396124491

Individual Registrant:
 POLLY CHUNG-PEI CHAN D.D.S.
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

Contact information for business:
581 FOSTER CITY BLVD  FOSTER CITY, CA 94404-1695 US
Tel: 650-286-9999  Fax: 650-286-9986

Registration Information:
NPI: 1396124491
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
CA41166

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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