Individual
DR. JONATHAN DUK GEN CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1895 MOWRY AVE, STE 121, FREMONT, CA 94538-1737
(510) 791-0971
Mailing address
1895 MOWRY AVE, STE 121, FREMONT, CA 94538
(510) 791-0971
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
61014
CA
Other
Enumeration date
08/10/2012
Last updated
08/06/2013
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