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Organization
YOONHO CHANG DDS INC.
Active
Organization
YOONHO CHANG DDS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YOONHO CHANG DDS (PRESIDENT)
(760) 365-2351
Entity
Organization
Contact information
Practice address
7024 AIRWAY AVE, SUITE A, YUCCA VALLEY, CA 92284-3069
(760) 365-2351
Mailing address
7024 AIRWAY AVE, SUITE A, YUCCA VALLEY, CA 92284-3069
(760) 365-2351
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
48241
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G93623-01
—
CA
Enumeration date
07/02/2007
Last updated
08/22/2020
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