Individual
CHANG GUO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1333 MERIDIAN AVE, SAN JOSE, CA 95125-5212
(408) 960-0645
Mailing address
1333 MERIDIAN AVE, SAN JOSE, CA 95125-5212
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
105271
CA
Other
Enumeration date
03/19/2020
Last updated
04/26/2021
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