| NPI | 1114090677 |
|---|---|
| Doing Business As | SOUTH CALIFORNIA DENTAL PRACTICE |
| Entity Type | Organization |
| Authorized Contact | CHEE CHIANG CHANG Owner Dentist 209-941-0814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 47858) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2020-08-22 |