Individual
EVA A CHIANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
3200 S UNIVERSITY DR, SANFORD L. ZIFF BLDG., DAVIE, FL 33328-2018
(954) 262-7500
(954) 262-7164
Mailing address
55 SW 2ND AVE, APT # 105, BOCA RATON, FL 33432-4762
(561) 843-0159
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DTP563
FL
Other
Enumeration date
02/02/2012
Last updated
02/02/2012
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