Individual
DR. RUSSELL EK CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS MS FACD
Contact information
Practice address
4608 KATELLA AVE, #201, LOS ALAMITOS, CA 90720-2684
(562) 430-0541
(562) 598-0005
Mailing address
4608 KATELLA AVE, #201, LOS ALAMITOS, CA 90720-2684
(562) 430-0541
(562) 598-0005
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
30363
CA
Other
Enumeration date
06/13/2008
Last updated
06/13/2008
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