SUSIE T CHAN DDS A PROFESSIONAL DENTAL CORPORTATION NPI 1134473408

NPI Information

NPI: 1134473408
Provider Name: SUSIE T CHAN DDS A PROFESSIONAL DENTAL CORPORTATION

Doing Business As: SMILE.

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
16918 DOVE CANYON RD
STE 201
SAN DIEGO, CA
ZIP 92127
Phone: (858) 924-1000
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SUSIE T CHAN DDS A PROFESSIONAL DENTAL CORPORTATION is a dental clinic center in San Diego, CA. SUSIE T CHAN DDS A PROFESSIONAL DENTAL CORPORTATION NPI is 1134473408. The provider is registered as an organization entity type.
The provider Is Doing Business As Smile..

The provider's business location address is:

16918 DOVE CANYON RD
STE 201
SAN DIEGO, CA
ZIP 92127-501
Phone: (858) 924-1000

The provider's authorized official is Susie T Ro .
The authorized official title is Dentist and has the following contact phone number (714) 421-0430.

The enumeration date for this NPI number is 11/7/2012 and was last updated on 11/7/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	57743	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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