| Paul C Chang Dental Inc | |
|
600 N Mountain Ave #d 205 Upland CA 91786 | |
| (909) 985-9866 | |
| (909) 931-0908 |
| Full Name | Paul C Chang Dental Inc |
|---|---|
| Speciality | Dentist |
| Location | 600 N Mountain Ave, Upland, California |
| Authorized Official Name and Position | Paul C Chang (DENTIST) |
| Authorized Official Contact | 9099859866 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paul C Chang Dental Inc 600 N Mountain Ave #d 205 Upland CA 91786 Ph: (909) 985-9866 | Paul C Chang Dental Inc 600 N Mountain Ave #d 205 Upland CA 91786 Ph: (909) 985-9866 |
| NPI Number | 1073617445 |
|---|---|
| Provider Enumeration Date | 09/07/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073617445 | NPI | - | NPPES |
| B3254002 | Other | CA | DENTI CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 32540 (California) | Primary |
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