Individual
DR. ECSILE CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
421 3RD ST, FAIRBANKS, AK 99701-3506
(907) 456-1237
Mailing address
229 BENTLEY DR, FAIRBANKS, AK 99701-3462
(907) 978-8877
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
122922
AK
Other
Enumeration date
06/19/2017
Last updated
06/19/2017
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