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Organization
VICKY CHANG, DDS CORPORATION
Active
Organization
VICKY CHANG, DDS CORPORATION
Active
Other names
LA FONTANA FAMILY DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
VIKCY CHANG D.D.S. (PRESIDENT)
(415) 269-3953
Entity
Organization
Contact information
Practice address
2694 NAVJO ROAD, SUITE #100, EL COJON, CA 92020
(619) 467-7691
(619) 467-7695
Mailing address
10545 LA VITA COURT, SAN DIEGO, CA 92131
(415) 269-3953
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/05/2022
Last updated
10/05/2022
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