Individual
DR. DAVID JONATHAN CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1701 SHAVER ST STE 100, PASADENA, TX 77502-2027
(713) 589-1888
(713) 589-1998
Mailing address
1701 SHAVER ST STE 100, PASADENA, TX 77502-2027
(713) 589-1888
(713) 589-1998
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21337
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1580433-07
—
TX
05
—
1580433-08
—
TX
05
—
1580433-09
—
TX
01
—
B2133701
DELTA DENTAL CHIPS
TX
Enumeration date
10/05/2006
Last updated
10/24/2022
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