Individual
DR. ANDREW HWANSOO CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
55 8TH AVE, BROOKLYN, NY 11217-5172
(718) 622-7275
Mailing address
107 COLUMBIA HTS APT 7G, BROOKLYN, NY 11201-7335
(917) 951-6314
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
06253601
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/20/2021
Last updated
09/04/2024
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