Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CHARLENE RENEE CHAN, D.D.S., M.S.D.
ActiveDR. CHARLENE RENEE CHAN, D.D.S., M.S.D. is a Orthodontics healthcare provider located in SEBASTOPOL, California. NPI 1043349111 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · SEBASTOPOL, CA
Registration Details
- NPI Number
- 1043349111
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 5, 2007 (19.398389062818 yrs)
- Last Updated
- Jul 8, 2007
- License
-
036066 (CA)
Practice Information
- Address
-
6800 PALM AVESUITE BSEBASTOPOL, CA, 954724269Browse CA providers · Browse ZIP 95472
- Phone
- 7078231200
- Fax
- 7078235363
- Primary Specialty
-
Orthodontics
1223X0400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.