| Michael Chang Ontario Dental Corp | |
|
1630 E 4th St Ste J Ontario CA 91764-2606 | |
| (213) 294-1462 | |
| Not Available |
| Full Name | Michael Chang Ontario Dental Corp |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1630 E 4th St Ste J, Ontario, California |
| Authorized Official Name and Position | Michael Chang (PRESIDENT) |
| Authorized Official Contact | 2132941462 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Chang Ontario Dental Corp 510 Golden Springs Dr Unit F Diamond Bar CA 91765-1459 Ph: (213) 294-1462 | Michael Chang Ontario Dental Corp 1630 E 4th St Ste J Ontario CA 91764-2606 Ph: (213) 294-1462 |
| NPI Number | 1033949581 |
|---|---|
| Provider Enumeration Date | 08/07/2024 |
| Last Update Date | 08/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033949581 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
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