Individual provider · NPI-1

Chen Tsung Chang, D.D.S.

Dentist, General Practice · Monterey Park, CA

NPI number1417276296
StatusActive
Last updated in NPPESMay 19, 2010

Details

NPI
1417276296
Entity type
Individual (NPI-1)
Name
Chen Tsung Chang
Credential
D.D.S.
Sex
Male
Sole proprietor
No
Enumeration date
May 19, 2010
Last updated
May 19, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice59262CAYes

Practice location

300 S Garfield Ave # 203
Monterey Park, CA 91754-3336

Phone 626-226-3555

Mailing address

300 S. Garfield Avenue
#203
Monterey Park, CA 91754

Phone 626-226-3555

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