Most Relevant Information
Provider Data
| NPI Number: | 1003484502 |
| Provider Name: | VICTOR CHAN |
| Entity Type: | Individual |
| Taxonomy Code: | 1223X0400X |
| Specialty: | Dentist |
| License Number: | DN25862 |
Most Important Dates
| Enumeration Date: | 06/11/2021 |
| Last Updated: | 03/18/2024 |
Provider Practice Location
6286 LAKE OSPREY DR
LAKEWOOD RANCH
FL
342408425
Practice Location Phone/Fax
| Phone: | 9419078898 |
| Fax: |
Provider Mailing Location
6509 WATERFORD CIR
SARASOTA
FL
342382637
Provider Mailing Phone/Fax
| Phone: | 4077667107 |
| Fax: |