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NPI Profile for Dr MICAH CHAN in RICHFIELD, MN.
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Periodontics |
1223P0300X |
| NPI Number | 1083083323 |
|
| Status | Active | |
| Credentials | D.M.D., M.S. | |
| Entity | Individual | |
| Enumeration date | 09/16/2015 | |
| Last updated | 09/16/2015 - About 11 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MICAH CHAN
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MICAH CHAN, D.M.D., M.S.