Eddie Chang Dental Practice Inc | |
166 W College St Suite C Covina CA 91723-2047 | |
(626) 331-0688 | |
(626) 915-2213 |
Full Name | Eddie Chang Dental Practice Inc |
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Speciality | Dentist - Pediatric Dentistry |
Location | 166 W College St, Covina, California |
Authorized Official Name and Position | Eddie Chang (CEO) |
Authorized Official Contact | 9492283517 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Eddie Chang Dental Practice Inc 166 W College St Suite C Covina CA 91723-2047 Ph: (626) 331-0688 | Eddie Chang Dental Practice Inc 166 W College St Suite C Covina CA 91723-2047 Ph: (626) 331-0688 |
NPI Number | 1376956201 |
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Provider Enumeration Date | 06/09/2014 |
Last Update Date | 06/09/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376956201 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | 46367 (California) | Primary |
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