Organization
CHANG & PHAN DENTAL, LLC
Active
Other names
All Star Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROLYN SOOJIN CHANG DMD (MANAGING MEMBER)
(240) 381-7814
Entity
Organization
Contact information
Practice address
451 HUNGERFORD DR STE 100, ROCKVILLE, MD 20850-5102
(240) 381-7814
Mailing address
3517 DOC BERLIN DR, SILVER SPRING, MD 20906-1151
(240) 381-7814
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
14020
MD
Other
Enumeration date
08/02/2018
Last updated
08/02/2018
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