Individual
PATRICK JOHN KONG CHANG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1700 LANAKILA AVE, 203, HONOLULU, HI 96817-2115
(808) 832-5710
Mailing address
1700 LANAKILA AVE, 203, HONOLULU, HI 96817-2115
(808) 832-5710
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
DT 1701
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
070300-01
—
HI
Enumeration date
07/07/2005
Last updated
07/09/2007
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