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Mary Jooeun Chang
General Practice Dentistry in Mountain View, California
NPI 1518539774

Mary Jooeun Chang is a General Practice Dentistry based in Menlo Park, CA and is specialized in General Practice. Mary Jooeun Chang practices in Mountain View, CA. The NPI Number for Mary Jooeun Chang is 1518539774 and holds a License No. (California).

The current practice location address for Mary Jooeun Chang is 100 W El Camino Real Ste 63A, Mountain View, CA and can be reached out via phone at 650-563-1180.

Location: 100 W El Camino Real Ste 63A, Mountain View, CA, 94025-1340
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518539774
Provider Name
Mary Jooeun Chang
Credential
Provider Entity Type
Individual
Gender
Female
Address
100 W El Camino Real Ste 63A, Mountain View, CA, 94025-1340
Phone Number
650-563-1180
Fax Number
Provider Enumeration Date
07/15/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
100 W El Camino Real Ste 63A
City
Mountain View
State
California
Zip
94040-2649
Phone Number
650-563-1180
Fax Number
person
Provider Business Mailing Address Details
Address
100 W El Camino Real Ste 63A
City
Mountain View
State
California
Zip
94040-2649
Phone Number
650-563-1180
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
108275 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
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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