| Michael Chang Dental Corp | |
|
142 W Base Line Rd Ste B Rialto CA 92376-3302 | |
| (909) 341-5325 | |
| Not Available |
| Full Name | Michael Chang Dental Corp |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 142 W Base Line Rd Ste B, Rialto, California |
| Authorized Official Name and Position | Michael Chang (PRESIDENT) |
| Authorized Official Contact | 2132941462 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Chang Dental Corp 1120 S Grand Ave Apt 2612 Los Angeles CA 90015-4659 Ph: (213) 294-1462 | Michael Chang Dental Corp 142 W Base Line Rd Ste B Rialto CA 92376-3302 Ph: (909) 341-5325 |
| NPI Number | 1659022887 |
|---|---|
| Provider Enumeration Date | 01/10/2022 |
| Last Update Date | 01/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659022887 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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