Individual
MYUNG W CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3400 CIVIC CENTER BLVD, 4TH FLOOR, SOUTH PAVILION, PHILADELPHIA, PA 19104-5127
(215) 662-3580
Mailing address
3400 CIVIC CENTER BLVD, 4TH FLOOR, SOUTH PAVILION, PHILADELPHIA, PA 19104-5127
(215) 662-3580
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
DS041128
PA
Other
Enumeration date
05/18/2007
Last updated
02/01/2017
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