| Ricardo Chang Dds Pa | |
|
9646 Pines Blvd Pembroke Pines FL 33024-6241 | |
| (954) 210-7994 | |
| (954) 210-7993 |
| Full Name | Ricardo Chang Dds Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9646 Pines Blvd, Pembroke Pines, Florida |
| Authorized Official Name and Position | Ricardo Chang (OWNER) |
| Authorized Official Contact | 9542107994 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ricardo Chang Dds Pa 9646 Pines Blvd Pembroke Pines FL 33024-6241 Ph: (954) 210-7994 | Ricardo Chang Dds Pa 9646 Pines Blvd Pembroke Pines FL 33024-6241 Ph: (954) 210-7994 |
| NPI Number | 1750831921 |
|---|---|
| Provider Enumeration Date | 10/11/2016 |
| Last Update Date | 10/11/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750831921 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Secondary |
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