Individual
JAMIE JIDAPA CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2534 M ST, MERCED, CA 95340-2800
(209) 723-3071
Mailing address
2534 M ST, MERCED, CA 95340-2800
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
110966
CA
1223P0221X
Pediatric Dentistry
Primary
110966
CA
Other
Enumeration date
03/15/2023
Last updated
09/30/2025
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