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-- ALLEN CHAN -- D.M.D.

Individual Provider (NPI-1) Active

Dentist

Provider Information

NPI Number
1336450444
Provider Type
Individual Provider (NPI-1)
Credentials
D.M.D.
Status
Active

Contact & Location

Address
82ND MEDICAL GROUP (AETC) PAS: SQ0JFB5D SHEPPARD AFB, APO, AA, 76311
Phone
(210) 565-0645

Specialties & Taxonomies

Dentist Primary License: PA #DS038318

All Addresses

MAILING

674 HAZELTON DR

MADISON, MS, 391107332

(703) 501-8466

LOCATION

82ND MEDICAL GROUP (AETC) PAS: SQ0JFB5D SHEPPARD AFB

APO, AA, 76311

(210) 565-0645