Individual
DR. IAN CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
210 S PALISADE DR, SUITE 201, SANTA MARIA, CA 93454-8901
(805) 348-1990
(805) 348-1950
Mailing address
210 S PALISADE DR, SUITE 201, SANTA MARIA, CA 93454-8901
(805) 348-1990
(805) 348-1950
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
34941
CA
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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