Organization
ERIC CHANG DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC CHANG D.D.S, (OWNER)
(718) 539-5306
Entity
Organization
Contact information
Practice address
3625 UNION ST, SUITE C, FLUSHING, NY 11354-4166
(718) 539-5306
Mailing address
3625 UNION ST, SUITE C, FLUSHING, NY 11354-4166
(718) 539-5306
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
055746
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03404271
—
NY
Enumeration date
08/23/2014
Last updated
08/23/2014
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