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Organization
GLENN CHANG DDS INC
Active
Organization
GLENN CHANG DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN CHANG DDS (PRESIDENT)
(909) 595-2868
Entity
Organization
Contact information
Practice address
20657 GOLDEN SPRINGS DR, SUITE205B, DIAMOND BAR, CA 91789-3875
(909) 595-2868
(909) 569-1866
Mailing address
20657 GOLDEN SPRINGS DR, SUITE205B, DIAMOND BAR, CA 91789-3875
(909) 595-2868
(909) 569-1866
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
54537
CA
Other
Enumeration date
09/30/2014
Last updated
10/15/2014
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