Soonhyuk Chang Dds Inc | |
126 Avocado Ave Ste 202 Perris CA 92571-2605 | |
(951) 940-0202 | |
(951) 943-4844 |
Full Name | Soonhyuk Chang Dds Inc |
---|---|
Speciality | Clinic/center - Dental |
Location | 126 Avocado Ave Ste 202, Perris, California |
Authorized Official Name and Position | Soon Hyuk Chang (CEO) |
Authorized Official Contact | 9515446838 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Soonhyuk Chang Dds Inc 126 Avocado Ave Ste 202 Perris CA 92571-2605 Ph: (951) 940-0202 | Soonhyuk Chang Dds Inc 126 Avocado Ave Ste 202 Perris CA 92571-2605 Ph: (951) 940-0202 |
NPI Number | 1457542516 |
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Provider Enumeration Date | 08/05/2007 |
Last Update Date | 08/05/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457542516 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 49855 (California) | Primary |
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