| Joao F Chang Dds Thida Mahasucon Dds | |
|
2534 M St Merced CA 95340 | |
| (209) 723-3071 | |
| (209) 723-3072 |
| Full Name | Joao F Chang Dds Thida Mahasucon Dds |
|---|---|
| Speciality | Dentist |
| Location | 2534 M St, Merced, California |
| Authorized Official Name and Position | Thida Mahasucon (DENTIST) |
| Authorized Official Contact | 2097233071 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joao F Chang Dds Thida Mahasucon Dds 2534 M St Merced CA 95340 Ph: (209) 723-3071 | Joao F Chang Dds Thida Mahasucon Dds 2534 M St Merced CA 95340 Ph: (209) 723-3071 |
| NPI Number | 1174728224 |
|---|---|
| Provider Enumeration Date | 06/19/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174728224 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 41901 (California) | Primary |
| 122300000X | Dentist | 41952 (California) | Secondary |
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