Individual provider · Type 1 NPI

Chean Tau Chang, DDS

Student in an Organized Health Care Education/Training Program · Placerville, CA

NPI number 1649807090 Active

Practice location

5168 Honpie Rd
Placerville, CA 95667-8682

Mailing address

1000 S Coast Dr Apt S101
Costa Mesa, CA 92626-7727

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

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 1649807090

Chean Tau Chang, DDS's National Provider Identifier is 1649807090, issued on Mar 25, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Placerville, CA. The record was last updated on Aug 9, 2022.