Individual
JULIET CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD, MSD
Contact information
Practice address
3801 LAS POSAS RD STE 205, CAMARILLO, CA 93010-1426
(805) 388-1730
Mailing address
351 SPRING PARK RD, CAMARILLO, CA 93012-7734
(818) 825-2833
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
107235
CA
1223P0300X
Periodontics
11248
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/03/2016
Last updated
04/05/2022
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