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Contact Information

SELINA CHAN, DDS
10470 FOOTHILL BLVD
SUITE 126
RANCHO CUCAMONGA, CA91730-3754
 Phone: 909-989-7888
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for SELINA CHAN · (Female)

NPI Number 1225233687
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 06/17/2007
Last updated 09/17/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 53899
  • PA License # DS-036885
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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