Individual
DR. RODNEY E.J. CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2119 N KING ST, SUITE 206, HONOLULU, HI 96819-4550
(808) 845-6216
(808) 841-6872
Mailing address
2119 N KING ST, SUITE 206, HONOLULU, HI 96819-4550
(808) 845-6216
(808) 841-6872
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
893
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
067220-01
—
HI
01
—
08762-7
PROVIDER ID #
HI
01
—
893
LICENSE #
HI
01
—
89301
PROVIDER ID #
HI
Enumeration date
06/21/2006
Last updated
07/09/2007
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