Organization
EDDIE CHANG DENTAL PRACTICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDDIE CHANG DDS (CEO)
(949) 228-3517
Entity
Organization
Contact information
Practice address
166 W COLLEGE ST, SUITE C, COVINA, CA 91723-2047
(626) 331-0688
(626) 915-2213
Mailing address
166 W COLLEGE ST, SUITE C, COVINA, CA 91723-2047
(626) 331-0688
(626) 915-2213
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
46367
CA
Other
Enumeration date
06/09/2014
Last updated
06/09/2014
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