# BENJAMIN L CHANG, DDS PS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Greenlake Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851457428
- **Authorized official:** DR. BENJAMIN L CHANG DDS (PRESIDENT)
- **Authorized official phone:** (206) 547-5647

## Contact information

- **Practice address:** 4701 MIDVALE AVE N, SEATTLE, WA 98103-6641
- **Practice address phone:** (206) 547-5647
- **Practice address fax:** (206) 545-9291
- **Mailing address:** 4701 MIDVALE AVE N, SEATTLE, WA 98103-6641
- **Mailing address phone:** (206) 547-5647
- **Mailing address fax:** (206) 545-9291

## Taxonomy

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

## Other

- **Enumeration date:** 12/28/2006
- **Last updated:** 11/21/2014