Charlene R. Chan, D.D.S., M.S.D.
Orthodontics · Sebastopol, CA
UnclaimedD.D.S., M.S.D.NPI 1043349111
- Primary taxonomy
- 1223X0400X
- Enumerated
- 2007-03-05
- Practice location
- Sebastopol, CA
- Last NPPES update
- 2007-07-08
State licenses
- CA · Dentist · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.