Organization
JUNG YOON CHANG DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUNG YOON CHANG DDS (CEO)
(909) 348-3721
Entity
Organization
Contact information
Practice address
952 S ATLANTIC BLVD STE A, LOS ANGELES, CA 90022-4091
(323) 263-9600
Mailing address
180 HAYDEN WAY, BREA, CA 92821-2323
(909) 348-3721
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346595113
—
CA
Enumeration date
11/14/2021
Last updated
11/14/2021
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