Individual
DR. JEEMIN CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1775 GRAND CONCOURSE FL 6, BRONX, NY 10453-8202
(413) 736-0027
Mailing address
5500 COLUMBIA PIKE STE A, ARLINGTON, VA 22204-5867
(703) 671-5437
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN1857923
MA
1223P0221X
Pediatric Dentistry
Primary
0401418071
VA
1223P0221X
Pediatric Dentistry
13068
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/22/2018
Last updated
02/14/2024
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