Individual
JAMEY S. CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
865 S. CARROLL RD., SUITE C, VILLA RICA, GA 30180
(770) 459-4131
Mailing address
169 REID PLANTATION DR., VILLA RICA, GA 30180
(770) 459-4131
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN012559
GA
Other
Enumeration date
02/02/2007
Last updated
07/08/2007
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