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Organization
JIM S CHANG DDS INC
Active
Organization
JIM S CHANG DDS INC
Active
Other names
Penasquitos Point Family Dentristry
Organization subpart
No
Provider details
NPI number
Authorized official
JIM S CHANG DDS (CEO)
(858) 484-9776
Entity
Organization
Contact information
Practice address
12798 RANCH PENASQUITOS BLVD, SUITE I, SAN DIEGO, CA 92129
(858) 484-9776
(858) 484-0721
Mailing address
12798 RANCH PENASQUITOS BLVD, SUITE I, SAN DIEGO, CA 92129
(858) 484-9776
(858) 484-0721
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
34942
CA
Other
Enumeration date
08/24/2006
Last updated
08/22/2020
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