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HONGQIU CHANG DDS

>> Dentist >> Dental Providers

Registrant NPI Number: 1124114095

Individual Registrant:
 HONGQIU  CHANG DDS
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

Contact information for business:
212 E. MERCED ST.  FOWLER, CA 93625-2313 US
Tel: 559-834-5313  Fax: 559-834-5294

Registration Information:
NPI: 1124114095
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
CA52590

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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