| Chang Family Dental | |
|
421 3rd St Fairbanks AK 99701-3506 | |
| (907) 456-1237 | |
| Not Available |
| Full Name | Chang Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 421 3rd St, Fairbanks, Alaska |
| Authorized Official Name and Position | Ecsile Chang (OWNER) |
| Authorized Official Contact | 9079788877 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chang Family Dental 210 Well St Fairbanks AK 99701-3012 Ph: (907) 978-8877 | Chang Family Dental 421 3rd St Fairbanks AK 99701-3506 Ph: (907) 456-1237 |
| NPI Number | 1770129538 |
|---|---|
| Provider Enumeration Date | 11/26/2019 |
| Last Update Date | 11/26/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770129538 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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