| Benjamin Chang Llc | |
|
1212 N 45th St Seattle WA 98103-6668 | |
| (206) 552-8482 | |
| Not Available |
| Full Name | Benjamin Chang Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1212 N 45th St, Seattle, Washington |
| Authorized Official Name and Position | Benjamin Chang (OWNER) |
| Authorized Official Contact | 2065528482 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin Chang Llc 1212 N 45th St Seattle WA 98103-6668 Ph: () - | Benjamin Chang Llc 1212 N 45th St Seattle WA 98103-6668 Ph: (206) 552-8482 |
| NPI Number | 1568869147 |
|---|---|
| Provider Enumeration Date | 11/26/2014 |
| Last Update Date | 11/26/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568869147 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DE8374 (Washington) | Primary |
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