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Organization
PAY-JIUAN CHANG, D.D.D., INC.
Active
Organization
PAY-JIUAN CHANG, D.D.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAY-JIUAN CHANG D.D.S. (PRESIDENT)
(626) 288-5985
Entity
Organization
Contact information
Practice address
1045 E. VALLEY BLVD., A 207, SAN GABRIEL, CA 91776
(626) 288-5985
(626) 288-8281
Mailing address
1045 E. VALLEY BLVD., A 207, SAN GABRIEL, CA 91776
(626) 288-5985
(626) 288-8281
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
37398
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B37398-01
—
CA
Enumeration date
07/31/2014
Last updated
07/31/2014
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