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DR. JEFFREY CHAI CHANG DDS

>> Dentist >> Dental Providers

Registrant NPI Number: 1003036286

Individual Registrant:
DR. JEFFREY CHAI CHANG DDS
Gender: M
Not Sole Proprietor

Location and contact information for practice:
38TH STREET, BLDG 38717 USA DENTAC FT GORDON, GA 30905-5660 US
Tel: 706-787-6927  Fax: 706-787-2081

Contact information for business:
38TH STREET, BLDG 38717 USA DENTAC FT GORDON, GA 30905-5660 US
Tel: 706-787-6927  Fax: 706-787-2081

Registration Information:
NPI: 1003036286
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
X122300000XDental Providers
Dentist
TX17324
X1223P0700XDental Providers
Dentist
TX17324

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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