Organization
TEN DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUG CHANG DMD (OWNER/CEO)
(623) 536-9942
Entity
Organization
Contact information
Practice address
1579 N DYSART RD, SUITE - F, AVONDALE, AZ 85392-1215
(623) 536-9942
(623) 536-7403
Mailing address
1579 N DYSART RD, SUITE - F, AVONDALE, AZ 85392-1215
(623) 536-9942
(623) 536-7403
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
Other
Enumeration date
05/08/2012
Last updated
05/08/2012
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