Individual
JASON H CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1101 AVENUE D, C104, SNOHOMISH, WA 98290-2083
(425) 252-1188
(425) 258-2928
Mailing address
1229 146TH ST SE, MILL CREEK, WA 98012-5515
(206) 579-0161
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE9001
WA
Other
Enumeration date
10/02/2006
Last updated
12/29/2014
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