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General NPI Number Information
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NPI Number | 1134070501
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Entity Type | Organization
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Legal Business Name | JENNY HEE JIN CHANG DDS INC
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Dates
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Enumeration Date | 02/03/2026
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Last Update Date | 02/03/2026
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Provider Practice Location Address
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Address Line | 5456 BEACH BLVD
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City | BUENA PARK
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State | CA
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Zip | 90621-1234
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Country | US
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Telephone | 714-994-2828
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Fax | 714-994-2875
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Provider Business Mailing Address
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Address Line | 5456 BEACH BLVD
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City | BUENA PARK
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State | CA
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Zip | 90621-1234
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Country | US
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Telephone | 714-994-2828
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Fax | 714-994-2875
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Authorized Official
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Title or Position | OWNER DENTIST
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Name | HEE JIN CHANG
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Credential | DDS
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Telephone | 714-994-2828
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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