Individual
MR. NAI-WEN CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3302 GASTON AVE, DALLAS, TX 75246-2013
(214) 828-8100
Mailing address
2619 MCKINNEY AVE APT 1511, DALLAS, TX 75204-3060
(617) 259-6867
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
3259709
TX
1223P0300X
Periodontics
Primary
39140
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/21/2019
Last updated
10/17/2022
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