Organization
E LINE ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOON H. CHANG D.D.S (OWNER)
(972) 242-2040
Entity
Organization
Contact information
Practice address
3044 OLD DENTON RD, STE. 111-304, CARROLLTON, TX 75007-5016
(972) 242-2040
(972) 446-0088
Mailing address
1017 E TRINITY MILLS RD, 102, CARROLLTON, TX 75006-1438
(972) 242-2040
(972) 446-0088
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
27128
TX
Other
Enumeration date
05/22/2012
Last updated
05/22/2012
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