Individual
JENNY CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
635 E BASELINE RD, PHOENIX, AZ 85042-6551
(602) 243-7277
(602) 323-3299
Mailing address
2702 N 3RD ST STE 4020, PHOENIX, AZ 85004-4608
(602) 323-3407
(602) 323-3496
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D6438
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
998338
—
AZ
Enumeration date
02/08/2007
Last updated
07/09/2007
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