Individual
LUANNE CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S., M.S.
Contact information
Practice address
11491 JEFFERSON BLVD, CULVER CITY, CA 90230-6115
(310) 397-1806
Mailing address
11491 JEFFERSON BLVD, CULVER CITY, CA 90230-6115
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
41819
CA
Other
Enumeration date
12/22/2009
Last updated
12/22/2009
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