Chan, Charlene Renee

Chan, Charlene Renee is an individual health care provider with primary practice located at 6800 Palm Ave Suite B, Sebastopol CA 95472-4269. She recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as her primary health care specialty. Chan, Charlene Renee can be contacted via phone (707) 823-1200.

Contact Information

Primary practice address
6800 Palm Ave Suite B Sebastopol CA 95472-4269
Phone: (707) 823-1200
Fax: (707) 823-5363
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 036066 California

Profile Details

NPI number 1043349111
LBN Legal business name Chan, Charlene Renee
Credentials D.D.S., M.S.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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