Chang, Jonathan Duk Gen
Chang, Jonathan Duk Gen is an individual health care provider with primary practice located at 1895 Mowry Ave Ste 121, Fremont CA 94538-1737. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Chang, Jonathan Duk Gen can be contacted via phone (510) 791-0971.Contact Information
Primary practice address
1895 Mowry Ave Ste 121
Fremont CA 94538-1737
Phone: (510) 791-0971
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 61014 | California |
Profile Details
| NPI number | 1720335698 |
|---|---|
| LBN Legal business name | Chang, Jonathan Duk Gen |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2012 |
| Last updated | Aug 6th, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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