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1659022887
MICHAEL CHANG DENTAL CORP
RIALTO, CA
NPI
1659022887
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Entity Type
Organization
Authorized Contact
MICHAEL CHANG
President
213-294-1462
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2022-01-10
Last Update Date
2022-01-10
Business Address
MICHAEL CHANG DENTAL CORP
142 W BASE LINE RD STE B
RIALTO, CA 92376-3302
Phone number: 909-341-5325
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Mailing Address
MICHAEL CHANG DENTAL CORP
1120 S GRAND AVE APT 2612
LOS ANGELES, CA 90015-4659
Phone number: 213-294-1462
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