Individual
YONG-JIN MICHAEL CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
722 W 168TH ST, NEW YORK, NY 10032-3727
(212) 305-6754
Mailing address
2082 FREDERICK DOUGLASS BLVD APT 2B, NEW YORK, NY 10026-3369
(201) 982-1757
(201) 982-1757
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
NONE
NY
Other
Enumeration date
03/09/2020
Last updated
03/09/2020
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