Individual
CALVIN CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1337 N MOUNTAIN AVE STE 1, ONTARIO, CA 91762-1134
(909) 333-7457
Mailing address
280 S LEMON AVE UNIT 116, WALNUT, CA 91788-2604
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
63110
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
07/17/2013
Last updated
08/30/2022
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