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Organization

CHANG FAMILY DENTAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ECSILE CHANG DMD (OWNER)
(907) 978-8877
Entity
Organization

Contact information

Practice address
421 3RD ST, FAIRBANKS, AK 99701-3506
(907) 456-1237
Mailing address
210 WELL ST, FAIRBANKS, AK 99701-3012
(907) 978-8877

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
11/26/2019
Last updated
11/26/2019
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