Organization
CHARLES CHANG DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES CHANG DDS (OWNER)
(718) 483-9119
Entity
Organization
Contact information
Practice address
264A SUYDAM ST # A, BROOKLYN, NY 11237-3274
(718) 483-9119
(347) 663-1303
Mailing address
264 A SUYDAM STREET, BROOKLYN, NY 11237-3274
(718) 483-9119
(347) 663-1303
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
054987-1
NY
Other
Enumeration date
08/15/2012
Last updated
08/15/2012
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