Individual
KAI-HUI CARL CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
13625 MAPLE AVE, SUITE 208, FLUSHING, NY 11355-3870
(718) 461-4731
(718) 461-4803
Mailing address
13625 MAPLE AVE, SUITE 208, FLUSHING, NY 11355-3870
(718) 461-4731
(718) 461-4803
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
055583-1
NY
Other
Enumeration date
05/03/2010
Last updated
12/20/2011
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