Paul Chang, D.D.S.
Dentist, General Practice in Bullhead City, AZ. Individual provider (NPI-1).
NPI number1215980750
StatusActive
Last updated in NPPESMay 18, 2010
Details
- NPI
- 1215980750
- Entity type
- Individual (NPI-1)
- Name
- Mr. Paul Chang
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 18, 2006
- Last updated
- May 18, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 5774 | AZ | Yes |
Practice location
3003 Highway 95Suite B-33
Bullhead City, AZ 86442-7860
Phone 928-763-8750 · Fax 928-763-8801
Mailing address
P.O. Box 30060Laughlin, NV 89028-0192
Phone 928-234-3078 · Fax 928-763-8801
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