Individual provider · NPI-1
Paul S Chang, DDS
Dentist · Rosemead, CA
NPI number1922131978
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1922131978
- Entity type
- Individual (NPI-1)
- Name
- Paul S Chang
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 13, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 52322 | CA | Yes |
Practice location
8150 E Garvey Ave#109
Rosemead, CA 91770
Phone 626-573-8261 · Fax 626-573-8036
Mailing address
Po Box 1099Rosemead, CA 91770
Phone 626-573-8261 · Fax 626-573-8036
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