Organization
BENJAMIN CHANG LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN CHANG (OWNER)
(206) 552-8482
Entity
Organization
Contact information
Practice address
1212 N 45TH ST, SEATTLE, WA 98103-6668
(206) 552-8482
Mailing address
1212 N 45TH ST, SEATTLE, WA 98103-6668
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE8374
WA
Other
Enumeration date
11/26/2014
Last updated
11/26/2014
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