# DR. MICHELLE G. CHANG DMD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275105033
- **Authorized official:** AARON FORDHAM (ADMINISTRATOR)
- **Authorized official phone:** (253) 736-3739

## Contact information

- **Practice address:** 1620 DUVALL AVE NE STE A, RENTON, WA 98059-3975
- **Practice address phone:** (425) 271-6002
- **Mailing address:** 1620 DUVALL AVE NE STE A, RENTON, WA 98059-3975
- **Mailing address phone:** (425) 271-6002

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 07/12/2021
- **Last updated:** 07/12/2021