Individual
DR. JIN SUP CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
400 VETERANS AVE, BILOXI, MS 39531-2410
(228) 523-5103
(228) 523-4310
Mailing address
305 DOMINION DR, OCEAN SPRINGS, MS 39564-5139
(410) 271-7195
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
54978
CA
Other
Enumeration date
04/17/2008
Last updated
01/06/2014
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