# BENJAMIN CHANG LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568869147
- **Authorized official:** DR. BENJAMIN CHANG (OWNER)
- **Authorized official phone:** (206) 552-8482

## Contact information

- **Practice address:** 1212 N 45TH ST, SEATTLE, WA 98103-6668
- **Practice address phone:** (206) 552-8482
- **Mailing address:** 1212 N 45TH ST, SEATTLE, WA 98103-6668

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DE8374 | WA | Yes |

## Other

- **Enumeration date:** 11/26/2014
- **Last updated:** 11/26/2014