Organization
MIN SUK CHANG,D.D.S.INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP MINSUK CHANG D.D.S. (C.E.O.)
(310) 791-7108
Entity
Organization
Contact information
Practice address
3640 LOMITA BLVD, 207, TORRANCE, CA 90505-3927
(310) 791-7108
(310) 791-7142
Mailing address
3640 LOMITA BLVD, 207, TORRANCE, CA 90505-3927
(310) 791-7108
(310) 791-7142
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
51048
CA
Other
Enumeration date
07/11/2007
Last updated
07/11/2007
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