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Individual

DR. TINA CHANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD MD

Contact information

Practice address
11301 WILSHIRE BLVD # W160, LOS ANGELES, CA 90073-1003
(310) 268-3776
Mailing address
11301 WILSHIRE BLVD # W160, LOS ANGELES, CA 90073-1003
(310) 268-3776

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
51324A99621
CA

Other

Enumeration date
07/07/2008
Last updated
10/12/2008
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