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HONGQIU CHANG DDS
>> Dentist >> Dental ProvidersRegistrant NPI Number: 1124114095
Individual Registrant: HONGQIU CHANG DDS
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
212 E. MERCED ST. FOWLER, CA 93625-2313 US
Tel: 559-834-5313 Fax: 559-834-5294
Tel: 559-834-5313 Fax: 559-834-5294
Contact information for business:
212 E. MERCED ST. FOWLER, CA 93625-2313 US
Tel: 559-834-5313 Fax: 559-834-5294
Tel: 559-834-5313 Fax: 559-834-5294
Registration Information:
NPI: 1124114095
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 122300000X | Dental Providers Dentist | CA | 52590 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
