| NPI | 1821009168 |
|---|---|
| Other Name | DAVID CHANG |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: MD 13071) |
| Additional Taxonomies | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: VA 0401411358) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2007-07-08 |