Chan, David

Chan, David is an individual health care provider with primary practice located at 12125 Highway 6 Ste D , Fresno TX 77545-8844. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Chan, David can be contacted via phone (281) 431-8909.

Contact Information

Primary practice address
12125 Highway 6 Ste D Fresno TX 77545-8844
Phone: (281) 431-8909
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 21927 Texas

Profile Details

NPI number 1326265018
LBN Legal business name Chan, David
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2007
Last updated Aug 31st, 2011 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1326265018 NPPES
Texas MEDICAID 169600705

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