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Organization
JACK C CHANG, DDS INC
Active
Organization
JACK C CHANG, DDS INC
Active
Other names
Oakwood Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK C CHANG D.D.S. (PRESIDENT)
(805) 230-1112
Entity
Organization
Contact information
Practice address
808 E THOUSAND OAKS BLVD, THOUSAND OAKS, CA 91360-6056
(805) 230-1112
Mailing address
808 E THOUSAND OAKS BLVD, THOUSAND OAKS, CA 91360-6056
(805) 230-1112
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
53582
CA
Other
Enumeration date
01/08/2008
Last updated
12/13/2009
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