Individual
DR. YONG JUNG CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1331 W MAIN ST, BOX 122, LAKE CITY, IA 51449-1585
(712) 464-3124
(712) 464-7479
Mailing address
1331 W MAIN ST, BOX 122, LAKE CITY, IA 51449-1585
(712) 464-3124
(712) 464-7479
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
08817
IA
Other
Enumeration date
05/16/2011
Last updated
06/13/2011
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