| NPI | 1861948754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH Y K CHANG Owner 907-522-1685 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE00006828) |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2016-08-30 |