| Paul S Chang Dental Group, Inc. | |
|
10470 Foothill Blvd Unit 250 Rancho Cucamonga CA 91730-3754 | |
| (626) 818-0633 | |
| Not Available |
| Full Name | Paul S Chang Dental Group, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10470 Foothill Blvd Unit 250, Rancho Cucamonga, California |
| Authorized Official Name and Position | Paul S Chang (CEO) |
| Authorized Official Contact | 6268180633 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paul S Chang Dental Group, Inc. 10470 Foothill Blvd Unit 250 Rancho Cucamonga CA 91730-3754 Ph: (626) 818-0633 | Paul S Chang Dental Group, Inc. 10470 Foothill Blvd Unit 250 Rancho Cucamonga CA 91730-3754 Ph: (626) 818-0633 |
| NPI Number | 1487335733 |
|---|---|
| Provider Enumeration Date | 07/28/2023 |
| Last Update Date | 07/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487335733 | 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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