Individual
DR. CHARLES CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
14343 41ST AVE, APT.6F, FLUSHING, NY 11355-1864
(646) 667-7633
Mailing address
14343 41ST AVE, APT.6F, FLUSHING, NY 11355-1864
(646) 667-7633
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
054987-1
NY
Other
Enumeration date
08/03/2010
Last updated
08/03/2010
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