South California Dental Practice
NPI #1114090677 in Stockton, California
Provider Information
- NPI Number
- 1114090677
- Entity Type
- Organization
- Organization Name
- South California Dental Practice
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 15, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 40 S CALIFORNIA ST
- City
- Stockton
- State
- California
- ZIP Code
- 95202-3004
- Phone
- (209) 941-0814
Authorized Official
- Name
- DR. CHEE CHIANG CHANG, DDS
- Title
- OWNER DENTIST
- Phone
- (209) 941-0814
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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