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Organization
CHANGNDDS, INC
Active
Organization
CHANGNDDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NGHIEM CHANG DDS (PRESIDENT)
(408) 363-1767
Entity
Organization
Contact information
Practice address
3161 SENTER RD STE F&G, SAN JOSE, CA 95111-1300
(408) 363-1787
Mailing address
3161 SENTER RD STE F&G, SAN JOSE, CA 95111-1300
(408) 363-1787
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DDS37267
CA
Other
Enumeration date
06/07/2018
Last updated
06/07/2018
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