JIM S CHANG

SAN DIEGO, CA
NPI1184034746
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  34942)
Enumeration Date2014-05-05
Last Update Date2014-05-05
Business Address
-- JIM S CHANG DDS
12798 RANCHO PENASQUITOS BLVD # 1
SAN DIEGO, CA 92129
Phone number: 858-484-9776
Mailing Address
-- JIM S CHANG DDS
12798 RANCHO PENASQUITOS BLVD # 1
SAN DIEGO, CA 92129
Phone number: 858-484-9776
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