Chan, Selina

Chan, Selina is an individual health care provider with primary practice located at 10470 Foothill Blvd Suite 126, Rancho Cucamonga CA 91730-3754. She recently has only one registered license in Dental Providers / Endodontics, which is considered as her primary health care specialty. Chan, Selina can be contacted via phone (909) 989-7888.

Contact Information

Primary practice address
10470 Foothill Blvd Suite 126 Rancho Cucamonga CA 91730-3754
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X DS-036885 Pennsylvania
Dental Providers / Endodontics 1223E0200X 53899 California

Profile Details

NPI number 1225233687
LBN Legal business name Chan, Selina
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2007
Last updated Sep 17th, 2008 - about 16 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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