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Organization
RICARDO CHANG DDS PA
Active
Organization
RICARDO CHANG DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICARDO CHANG (OWNER)
(954) 210-7994
Entity
Organization
Contact information
Practice address
9646 PINES BLVD, PEMBROKE PINES, FL 33024-6241
(954) 210-7994
(954) 210-7993
Mailing address
9646 PINES BLVD, PEMBROKE PINES, FL 33024-6241
(954) 210-7994
(954) 210-7993
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
10/11/2016
Last updated
10/11/2016
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