| Eric Chang Dds Pllc | |
|
3625 Union St Suite C Flushing NY 11354-4166 | |
| (718) 539-5306 | |
| Not Available |
| Full Name | Eric Chang Dds Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3625 Union St, Flushing, New York |
| Authorized Official Name and Position | Eric Chang (OWNER) |
| Authorized Official Contact | 7185395306 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eric Chang Dds Pllc 3625 Union St Suite C Flushing NY 11354-4166 Ph: (718) 539-5306 | Eric Chang Dds Pllc 3625 Union St Suite C Flushing NY 11354-4166 Ph: (718) 539-5306 |
| NPI Number | 1447650791 |
|---|---|
| Provider Enumeration Date | 08/23/2014 |
| Last Update Date | 08/23/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447650791 | NPI | - | NPPES |
| 03404271 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 055746 (New York) | Primary |
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