Chan, Derek Mk

Chan, Derek Mk is an individual health care provider with primary practice located at 426 S Buckner Blvd , Dallas TX 75217-6521. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Chan, Derek Mk can be contacted via phone (469) 248-2958.

Contact Information

Primary practice address
426 S Buckner Blvd Dallas TX 75217-6521
Phone: (469) 248-2958
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 30022764 Ohio
Dental Providers / General Practice 1223G0001X 25315 Texas

Profile Details

NPI number 1124283676
LBN Legal business name Chan, Derek Mk
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2008
Last updated Feb 15th, 2012 - about 12 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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