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Organization
PAUL S CHANG DENTAL GROUP, INC.
Active
Organization
PAUL S CHANG DENTAL GROUP, INC.
Active
Other names
Wonderful Life Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL S CHANG DMD (CEO)
(626) 818-0633
Entity
Organization
Contact information
Practice address
10470 FOOTHILL BLVD UNIT 250, RANCHO CUCAMONGA, CA 91730-3754
(626) 818-0633
Mailing address
10470 FOOTHILL BLVD UNIT 250, RANCHO CUCAMONGA, CA 91730-3754
(626) 818-0633
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
07/28/2023
Last updated
07/28/2023
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