| Kathleen Chan Dds, Mmsc & Ivy Chen Dds, Mmsc, Pc | |
|
16 N Main St Suite 200 Andover MA 01810-6518 | |
| (978) 475-2222 | |
| (978) 475-2290 |
| Full Name | Kathleen Chan Dds, Mmsc & Ivy Chen Dds, Mmsc, Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 16 N Main St, Andover, Massachusetts |
| Authorized Official Name and Position | Ivy Chen (PRESIDENT) |
| Authorized Official Contact | 9784752222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen Chan Dds, Mmsc & Ivy Chen Dds, Mmsc, Pc 16 N Main St Suite 200 Andover MA 01810-6518 Ph: (978) 475-2222 | Kathleen Chan Dds, Mmsc & Ivy Chen Dds, Mmsc, Pc 16 N Main St Suite 200 Andover MA 01810-6518 Ph: (978) 475-2222 |
| NPI Number | 1649450552 |
|---|---|
| Provider Enumeration Date | 11/07/2007 |
| Last Update Date | 11/07/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649450552 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 20548 (Massachusetts) | Primary |
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