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Organization

ANDY CHANG DDS A DENTAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANDY HAN CHANG D.D.S. (PRESIDENT)
(626) 710-6797
Entity
Organization

Contact information

Practice address
825 W DUARTE RD APT A, MONROVIA, CA 91016-7500
(626) 710-6797
Mailing address
825 W DUARTE RD APT A, MONROVIA, CA 91016-7500
(626) 710-6797

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
52351
CA

Other

Enumeration date
10/11/2007
Last updated
10/11/2007
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