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Organization
MAXIMILIAN CHANG, D.D.S., INC.
Active
Organization
MAXIMILIAN CHANG, D.D.S., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAXIMILIAN CHANG D.D.S. (CHIEF EXECUTIVE OFFICER)
(310) 378-5358
Entity
Organization
Contact information
Practice address
4010 SEPULVEDA BLVD, SUITE 5, TORRANCE, CA 90505-2372
(310) 378-5358
Mailing address
4010 SEPULVEDA BLVD, SUITE 5, TORRANCE, CA 90505-2372
(310) 378-5358
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
46249
CA
Other
Enumeration date
05/30/2007
Last updated
08/22/2020
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