Organization
MICHAEL W CHANG DDS
Active
Other names
Michael W Chang DDS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL W CHANG DDS (OWNER)
(720) 505-6235
Entity
Organization
Contact information
Practice address
236 S 3RD ST, STE E, MONTROSE, CO 81401-3618
(970) 306-4548
(720) 368-5095
Mailing address
236 S 3RD ST, STE E, MONTROSE, CO 81401-3618
(970) 306-4548
(720) 368-5095
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
0401412359
VA
1223G0001X
General Practice Dentistry
Primary
8912
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02558294
—
NY
05
—
74405519
—
CO
Enumeration date
07/16/2015
Last updated
07/16/2015
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