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Jeffrey Chang, DMD
Student in an Organized Health Care Education/Training Program in Othello, Washington
NPI 1427417807

Jeffrey Chang is a Student in an Organized Health Care Education/Training Program based in Othello, WA. Jeffrey Chang practices in Othello, WA and has the professional credentials of DMD. The NPI Number for Jeffrey Chang is 1427417807 and holds a License No. RR60583726 (Washington).

The current practice location address for Jeffrey Chang is 140 E Main St, Othello, WA and can be reached out via phone at 650-575-7594.

Location: 140 E Main St, Othello, WA, 99344-1040
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427417807
Provider Name
Jeffrey Chang
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
140 E Main St, Othello, WA, 99344-1040
Phone Number
650-575-7594
Fax Number
Provider Enumeration Date
02/15/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
140 E Main St
City
Othello
State
Washington
Zip
99344-1040
Phone Number
650-575-7594
Fax Number
person
Provider Business Mailing Address Details
Address
140 E Main St
City
Othello
State
Washington
Zip
99344-1040
Phone Number
650-575-7594
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
RR60583726 (Washington)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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