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Organization
CHANGDDS, P.C.
Active
Organization
CHANGDDS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES W CHANG D.D.S. (PRESIDENT)
(248) 332-2448
Entity
Organization
Contact information
Practice address
1472 BALDWIN AVE, PONTIAC, MI 48340-1102
(248) 332-2448
(248) 332-7401
Mailing address
1472 BALDWIN AVE, PONTIAC, MI 48340-1102
(248) 332-2448
(248) 332-7401
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124059338
—
MI
Enumeration date
01/13/2010
Last updated
01/13/2010
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