Organization
JY CHANG DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUNG YOON CHANG (DENTIST/CEP)
(909) 348-3721
Entity
Organization
Contact information
Practice address
902 E 1ST ST, SANTA ANA, CA 92701-5365
(714) 835-5921
Mailing address
902 E 1ST ST, SANTA ANA, CA 92701-5365
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346595113
MEDICAL
CA
Enumeration date
08/16/2022
Last updated
08/22/2022
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