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Individual
JIA CHANG
Active
Individual
JIA CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
DTP606
FL
1223P0300X
Periodontics
Primary
SP321
CA
Other
Enumeration date
12/16/2011
Last updated
10/29/2024
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