Yong Chang DDS PC.
Dentist, General Practice in Chicago, IL. Organization (NPI-2).
NPI number1164045456
StatusActive
Last updated in NPPESMay 21, 2020
Details
- NPI
- 1164045456
- Entity type
- Organization (NPI-2)
- Legal business name
- Yong Chang DDS PC.
- Organization subpart
- No
- Enumeration date
- May 21, 2020
- Certification date
- May 21, 2020
- Last updated
- May 21, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Other names
- Zephyr Dental (Doing Business As)
Practice location
3531 N Western Ave Unit BChicago, IL 60618-6025
Phone 773-796-5928
Mailing address
3531 N Western Ave Unit BChicago, IL 60618-6025
Phone 773-796-5928
Authorized official
Yong Chang
DDS/Owner
7737965928
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