Chan, Fiona C
Chan, Fiona C is an individual health care provider with primary practice located at 1183 E Foothill Blvd Unit 240, Upland CA 91786-4049. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Chan, Fiona C can be contacted via phone (909) 981-6882.Contact Information
Primary practice address
1183 E Foothill Blvd Unit 240
Upland CA 91786-4049
Phone: (909) 981-6882
Fax: (909) 981-0276
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 47353 | California |
Profile Details
| NPI number | 1942352703 |
|---|---|
| LBN Legal business name | Chan, Fiona C |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 18th, 2007 |
| Last updated | Oct 5th, 2012 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942352703 | NPPES |
| California | MEDICAID | D47353 |
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