Individual
DR. RICARDO CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
9646 PINES BLVD, PEMBROKE PINES, FL 33024-6241
(954) 210-7994
(954) 210-7993
Mailing address
9646 PINES BLVD, PEMBROKE PINES, FL 33024-6241
(954) 210-7994
(954) 210-7993
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN16950
FL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN16950
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016623600
—
FL
Enumeration date
10/29/2008
Last updated
11/09/2022
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