Individual
RICHARD CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
121 112TH AVE NE STE D, BELLEVUE, WA 98004-5807
(425) 688-8558
(425) 688-8559
Mailing address
121 112TH AVE NE STE D, BELLEVUE, WA 98004-5807
(425) 688-8558
(425) 688-8559
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00007717
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5024351
—
WA
Enumeration date
10/10/2006
Last updated
07/08/2007
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