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Organization
SOUTH CALIFORNIA DENTAL PRACTICE
Active
Organization
SOUTH CALIFORNIA DENTAL PRACTICE
Active
Other names
south california dental practice
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHEE CHIANG CHANG DDS (OWNER DENTIST)
(209) 941-0814
Entity
Organization
Contact information
Practice address
40 S CALIFORNIA ST, STOCKTON, CA 95202-3004
(209) 941-0814
(209) 941-0815
Mailing address
40 S CALIFORNIA ST, STOCKTON, CA 95202-3004
(209) 941-0814
(209) 941-0815
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
47858
CA
Other
Enumeration date
11/15/2006
Last updated
08/22/2020
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