| Glenn Chang Dds Inc | |
|
20657 Golden Springs Dr Suite205b Diamond Bar CA 91789-3875 | |
| (909) 595-2868 | |
| (909) 569-1866 |
| Full Name | Glenn Chang Dds Inc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 20657 Golden Springs Dr, Diamond Bar, California |
| Authorized Official Name and Position | Glenn Chang (PRESIDENT) |
| Authorized Official Contact | 9095952868 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glenn Chang Dds Inc 20657 Golden Springs Dr Suite205b Diamond Bar CA 91789-3875 Ph: (909) 595-2868 | Glenn Chang Dds Inc 20657 Golden Springs Dr Suite205b Diamond Bar CA 91789-3875 Ph: (909) 595-2868 |
| NPI Number | 1396148771 |
|---|---|
| Provider Enumeration Date | 09/30/2014 |
| Last Update Date | 10/15/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396148771 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 54537 (California) | Primary |
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