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Organization
MICHAEL CHANG ONTARIO DENTAL CORP
Active
Organization
MICHAEL CHANG ONTARIO DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL CHANG DDS (PRESIDENT)
(213) 294-1462
Entity
Organization
Contact information
Practice address
1630 E 4TH ST STE J, ONTARIO, CA 91764-2606
(213) 294-1462
Mailing address
510 GOLDEN SPRINGS DR UNIT F, DIAMOND BAR, CA 91765-1459
(213) 294-1462
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
08/07/2024
Last updated
08/07/2024
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