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Individual

IRENE DAN YI CHANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
500 ALA MOANA BLVD STE 7300, HONOLULU, HI 96813-4905
(808) 523-4332
Mailing address
1778 ALA MOANA BLVD APT 3815, HONOLULU, HI 96815-1627
(408) 691-3579

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DT-3037
HI
1223G0001X
General Practice Dentistry
106907
CA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/02/2020
Last updated
10/02/2024
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