Individual
DR. IVY CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
669 WESTWOOD AVE, RIVER VALE, NJ 07675-6336
(201) 664-0130
Mailing address
669 WESTWOOD AVE, RIVER VALE, NJ 07675-6336
(201) 666-7555
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
046700
NY
1223G0001X
General Practice Dentistry
Primary
DI01992300
NJ
1223G0001X
General Practice Dentistry
DI19923
NJ
Other
Enumeration date
03/08/2010
Last updated
02/09/2022
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