| Chang Dental Center Ltd | |
|
6070 State Route 53 Lisle IL 60532-3395 | |
| (630) 963-4306 | |
| (630) 963-9344 |
| Full Name | Chang Dental Center Ltd |
|---|---|
| Speciality | Dentist |
| Location | 6070 State Route 53, Lisle, Illinois |
| Authorized Official Name and Position | Barbara Anne Chang (PRESIDENT) |
| Authorized Official Contact | 6309634306 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chang Dental Center Ltd 6070 State Route 53 Lisle IL 60532-3395 Ph: (630) 963-4306 | Chang Dental Center Ltd 6070 State Route 53 Lisle IL 60532-3395 Ph: (630) 963-4306 |
| NPI Number | 1811144199 |
|---|---|
| Provider Enumeration Date | 08/19/2008 |
| Last Update Date | 08/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811144199 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019015533 (Illinois) | Primary |
| 122300000X | Dentist | 019023535 (Illinois) | Secondary |
| 122300000X | Dentist | 019027112 (Illinois) | Secondary |
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