Peter Sung Jong Chang D.D.S.

NPI 1053320606 - Dentist - 1223G0001X

NPI Details
NPI 1053320606
Gender Male
Enumeration Date 08/05/2006
Last Updated 09/24/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
603 E IRVING PARK RD
ROSELLE IL, 60172-2302, US
Phone (630) 893-4200
Fax (630) 893-4508
Business Location
603 E IRVING PARK RD
ROSELLE IL, 60172-2302, US
Phone (630) 893-4200
Fax (630) 893-4508
Toxanomy
Taxonomy Code 1223G0001X
License State Illinois
License Number 019022395
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According to our database, Dr. Peter Sung Jong Chang D.D.S. NPI is 1053320606, taxonomy code is 1223G0001X and license number is 019022395, license state is located at Illinois. Peter Sung Jong Chang D.D.S. physically located at 603 E Irving Park Rd, Roselle IL, 60172-2302. NPI Number Peter Sung Jong Chang D.D.S. has the Individual type.

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1053320606 NPI number is provided on an as is basis without warranty of any kind. 1053320606 is maintained by the National Plan & Provider Enumeration System. The contents of Peter Sung Jong Chang D.D.S. are for informational purposes only.