Individual
DR. IL WON CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1 KNEELAND ST, BOSTON, MA 02111-1527
(617) 636-6828
Mailing address
1 KNEELAND ST, BOSTON, MA 02111-1527
(857) 242-1960
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DE60952459
WA
122300000X
Dentist
Primary
DN1859208
MA
Other
Enumeration date
07/12/2021
Last updated
04/20/2022
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