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Dr. Jonathan Duk Gen Chang, DMD
Pediatric Dentist in Fremont, California
NPI 1720335698

Jonathan Duk Gen Chang is a Pediatric Dentist based in Fremont, CA and is specialized in Pediatric Dentistry. Jonathan Duk Gen Chang practices in Fremont, CA and has the professional credentials of DMD. The NPI Number for Jonathan Duk Gen Chang is 1720335698 and holds a License No. 61014 (California).

The current practice location address for Jonathan Duk Gen Chang is 1895 Mowry Ave, Fremont, CA and can be reached out via phone at 510-791-0971.

Location: 1895 Mowry Ave, Fremont, CA, 94538
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720335698
Provider Name
Jonathan Duk Gen Chang
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
1895 Mowry Ave, Fremont, CA, 94538
Phone Number
510-791-0971
Fax Number
Provider Enumeration Date
08/10/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1895 Mowry Ave
City
Fremont
State
California
Zip
94538-1737
Phone Number
510-791-0971
Fax Number
person
Provider Business Mailing Address Details
Address
1895 Mowry Ave
City
Fremont
State
California
Zip
94538-1737
Phone Number
510-791-0971
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
61014 (California)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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