Individual
SUSAN CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
10401 OLD GEORGETOWN RD, 405, BETHESDA, MD 20814-1911
(301) 530-5909
Mailing address
10401 OLD GEORGETOWN RD, # 405, BETHESDA, MD 20814-1911
(301) 530-5909
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14999
MD
Other
Enumeration date
07/08/2011
Last updated
10/11/2016
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