Organization
PERIODONTICS & IMPLANT CENTER OF MCKINNEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL P CHANG DDS, MS (PRESIDENT)
(972) 540-5700
Entity
Organization
Contact information
Practice address
321 N CENTRAL EXPY, SUITE 102, MCKINNEY, TX 75070-3519
(972) 540-5700
(214) 544-8700
Mailing address
321 N CENTRAL EXPY, SUITE 102, MCKINNEY, TX 75070-3519
(972) 540-5700
(214) 544-8700
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
23754
TX
1223P0300X
Periodontics
Primary
23754
TX
1223P0700X
Prosthodontics
23754
TX
Other
Enumeration date
04/08/2009
Last updated
04/08/2009
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