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Organization
MICHAEL J.C. CHANG, DMD, INC.
Active
Organization
MICHAEL J.C. CHANG, DMD, INC.
Active
Other names
Fruitful Smile Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL JUNG-CHAN CHANG DMD (PRESIDENT)
(714) 994-4482
Entity
Organization
Contact information
Practice address
7011 ORANGETHORPE AVE., #100, BUENA PARK, CA 90621
(714) 994-4482
(714) 994-3995
Mailing address
7011 ORANGETHORPE AVE., #100, BUENA PARK, CA 90621
(714) 994-4482
(714) 994-3995
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
39244
CA
Other
Enumeration date
06/27/2007
Last updated
11/21/2007
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