Individual
IRENE DAN YI CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
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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