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Dr. Chungyu Chang, DMD

Dentist in Annville, PA. Individual provider (NPI-1).

NPI number1386136554
StatusActive
Last updated in NPPESJun 4, 2018

Details

NPI
1386136554
Entity type
Individual (NPI-1)
Name
Dr. Chungyu Chang
Credential
DMD
Sex
Male
Sole proprietor
No
Enumeration date
Jun 4, 2018
Last updated
Jun 4, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X DentistDS041695PAYes

Practice location

1 Jasons Way
Annville, PA 17003-2037

Phone 717-867-5088

Mailing address

1 Jasons Way
Annville, PA 17003-2037

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