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Individual

DR. THOMAS GILMER M. CHANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS, MS

Contact information

Practice address
455 E COLUMBIA ST, LONG BEACH, CA 90806-1620
(562) 933-0601
Mailing address
12531 NEDRA DR, GRANADA HILLS, CA 91344-1847

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
15193
CA

Other

Enumeration date
10/04/2007
Last updated
10/04/2007
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