Individual provider · NPI-1
Michelle Chang, DDS
Dentist · Monterey Park, CA
NPI number1285526970
StatusActive
Last updated in NPPESJul 17, 2025
Details
- NPI
- 1285526970
- Entity type
- Individual (NPI-1)
- Name
- Michelle Chang
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 17, 2025
- Certification date
- Jul 15, 2025
- Last updated
- Jul 17, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 111893 | CA | Yes |
Practice location
2111 S Atlantic BlvdMonterey Park, CA 91754-6801
Phone 323-261-9999
Mailing address
8038 Garvey AveRosemead, CA 91770-2482
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