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Individual
KARA WONG CHANG
Active
Individual
KARA WONG CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
019.028600
IL
1223G0001X
General Practice Dentistry
26108
TX
1223G0001X
General Practice Dentistry
Primary
63096
CA
Other
Enumeration date
01/10/2011
Last updated
01/28/2014
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