| Sean Wonhyung Chang | |
|
4902 Irvine Center Dr Ste 200 Irvine CA 92604-3335 | |
| (949) 733-8011 | |
| Not Available |
| Full Name | Sean Wonhyung Chang |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4902 Irvine Center Dr Ste 200, Irvine, California |
| Authorized Official Name and Position | Sean W Chang (DENTIST - OWNER) |
| Authorized Official Contact | 9497338011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sean Wonhyung Chang 4902 Irvine Center Dr Ste 200 Irvine CA 92604-3335 Ph: (949) 733-8011 | Sean Wonhyung Chang 4902 Irvine Center Dr Ste 200 Irvine CA 92604-3335 Ph: (949) 733-8011 |
| NPI Number | 1144871559 |
|---|---|
| Provider Enumeration Date | 09/26/2019 |
| Last Update Date | 09/26/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144871559 | NPI | - | NPPES |
| 101318 | Other | CA | DENTIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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