Individual
PAUL CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
LINCOLN ST BLDG 9900, TACOMA, WA 98431-0001
(917) 355-6009
Mailing address
6109 62ND AVE W, UNIVERSITY PLACE, WA 98467-4902
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
DE61292243
WA
Other
Enumeration date
07/03/2017
Last updated
06/14/2023
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