Chan, Jack W.

Chan, Jack W. is an individual health care provider with primary practice located at 818 Civic Center Dr , Oceanside CA 92054-2506. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Chan, Jack W. can be contacted via phone (760) 722-4765.

Contact Information

Primary practice address
818 Civic Center Dr Oceanside CA 92054-2506
Phone: (760) 722-4765
Fax: (790) 722-0980
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 48585 California

Profile Details

NPI number 1891799714
LBN Legal business name Chan, Jack W.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
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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