| Irene Chang A Professional Dental Corporation | |
|
40 E Huntington Drive Arcadia CA 91006 | |
| (626) 577-0114 | |
| (626) 577-0116 |
| Full Name | Irene Chang A Professional Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 40 E Huntington Drive, Arcadia, California |
| Authorized Official Name and Position | Irene C Chang (OWNER) |
| Authorized Official Contact | 6265770114 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Irene Chang A Professional Dental Corporation 40 E Huntington Drive Arcadia CA 91006 Ph: (626) 577-0114 | Irene Chang A Professional Dental Corporation 40 E Huntington Drive Arcadia CA 91006 Ph: (626) 577-0114 |
| NPI Number | 1346443686 |
|---|---|
| Provider Enumeration Date | 06/06/2007 |
| Last Update Date | 03/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346443686 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 38815 (California) | Primary |
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Secondary |
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