# JACK C CHANG, DDS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Oakwood Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477738474
- **Authorized official:** DR. JACK C CHANG D.D.S. (PRESIDENT)
- **Authorized official phone:** (805) 230-1112

## Contact information

- **Practice address:** 808 E THOUSAND OAKS BLVD, THOUSAND OAKS, CA 91360-6056
- **Practice address phone:** (805) 230-1112
- **Mailing address:** 808 E THOUSAND OAKS BLVD, THOUSAND OAKS, CA 91360-6056
- **Mailing address phone:** (805) 230-1112

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 53582 | CA | Yes |

## Other

- **Enumeration date:** 01/08/2008
- **Last updated:** 12/13/2009
