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NPI Code Detail

MEDICARE: YOUNGJUNE CHANG D.D.S.

MEDICARE: YOUNGJUNE CHANG D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry7139KS

General Provider Information

NPI Number : 1396718763
Entity Type Code : Individual
Provider Name (Legal Business Name) : YOUNGJUNE CHANG D.D.S.
Provider Business Mailing Address
First Line : 6708 STATE AVE
Second Line :
City : KANSAS CITY
State : KS
Zip : 66102-3021
Country : US
Telephone Number : 913-299-8554
Fax Number : 913-299-3187
Provider Business Practice Location Address
First Line : 6708 STATE AVE
Second Line :
City : KANSAS CITY
State : KS
Zip : 66102-3021
Country : US
Telephone Number : 913-299-8554
Fax Number : 913-299-3187
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2006
Last Update Date : 07/08/2014

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Directions to “ YOUNGJUNE CHANG D.D.S.” Practice Location

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