Individual
DR. JULIA I CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1717 S 324TH ST, SUITE A, FEDERAL WAY, WA 98003-8500
(253) 815-0093
Mailing address
1717 S 324TH ST, SUITE A, FEDERAL WAY, WA 98003-8500
(253) 815-0093
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00010032
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5050992
—
WA
Enumeration date
05/02/2008
Last updated
11/18/2010
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