Individual provider · Type 1 NPI

Jeffrey Chang, DMD

Student in an Organized Health Care Education/Training Program · Othello, WA

NPI number 1427417807 Active

Practice location

140 E Main St
Othello, WA 99344-1040

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XRR60583726 (WA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1427417807

Jeffrey Chang, DMD's National Provider Identifier is 1427417807, issued on Feb 15, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Othello, WA. The record was last updated on Feb 22, 2016.