Organization
CHANG DENTAL CENTER LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARBARA ANNE CHANG DDS (PRESIDENT)
(630) 963-4306
Entity
Organization
Contact information
Practice address
6070 STATE ROUTE 53, LISLE, IL 60532-3395
(630) 963-4306
(630) 963-9344
Mailing address
6070 STATE ROUTE 53, LISLE, IL 60532-3395
(630) 963-4306
(630) 963-9344
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019015533
IL
122300000X
Dentist
019023535
IL
122300000X
Dentist
019027112
IL
Other
Enumeration date
08/19/2008
Last updated
08/19/2008
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