Individual
DR. KEVIN CHUN HUI CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1508 N RIVERSIDE DR, ESPANOLA, NM 87532-2064
(505) 753-0544
Mailing address
160 MORGAN ST APT 509, JERSEY CITY, NJ 07302-6243
(617) 710-4387
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD5314
NM
Other
Enumeration date
08/31/2020
Last updated
08/31/2020
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