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1679639009
ILAN CHANG
RANCHO CUCAMONGA, CA
NPI
1679639009
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 29494)
Enumeration Date
2006-12-29
Last Update Date
2007-07-08
Business Address
-- ILAN CHANG D.M.D
8415 HAVEN AVE
RANCHO CUCAMONGA, CA 91730-3893
Phone number: 909-980-2272
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Mailing Address
-- ILAN CHANG D.M.D
8415 HAVEN AVE
RANCHO CUCAMONGA, CA 91730-3893
Phone number: 909-980-2272
Copy
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