| Changdds, P.c. | |
|
1472 Baldwin Ave Pontiac MI 48340-1102 | |
| (248) 332-2448 | |
| (248) 332-7401 |
| Full Name | Changdds, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1472 Baldwin Ave, Pontiac, Michigan |
| Authorized Official Name and Position | James W Chang (PRESIDENT) |
| Authorized Official Contact | 2483322448 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Changdds, P.c. 1472 Baldwin Ave Pontiac MI 48340-1102 Ph: (248) 332-2448 | Changdds, P.c. 1472 Baldwin Ave Pontiac MI 48340-1102 Ph: (248) 332-2448 |
| NPI Number | 1184954166 |
|---|---|
| Provider Enumeration Date | 01/13/2010 |
| Last Update Date | 01/13/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184954166 | NPI | - | NPPES |
| 124059338 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Michigan) | Primary |
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