Dr. Ivan Chan
Dr. Ivan Chan is a General Practice Dentistry in Glendale, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2022
Practice location Address checks out
435 Arden Ave Ste 570Glendale, CA 91203-1143
Phone: (916) 690-1508
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 107682 (CA) |
|---|
Record details
| NPI number | 1306572359 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 30, 2022 |
| Last updated in NPPES | October 15, 2024 |
| Certification date | October 15, 2024 |
| Mailing address | 6704 Eskridge Way, Elk Grove, CA 95758-6361 |
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