Individual
JOHN WILLIAM KM CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
95-1105 AINAMAKUA DR, STE #202, MILILANI, HI 96789-6313
(808) 445-6272
(808) 495-0582
Mailing address
95-1105 AINAMAKUA DR, STE #202, MILILANI, HI 96789-6313
(808) 445-6272
(808) 495-0582
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2013022282
MO
1223P0221X
Pediatric Dentistry
Primary
DT-2543
HI
Other
Enumeration date
07/03/2013
Last updated
05/08/2017
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