Chang, Jonathan Duk Gen

Chang, Jonathan Duk Gen is an individual health care provider with primary practice located at 1895 Mowry Ave Ste 121, Fremont CA 94538-1737. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Chang, Jonathan Duk Gen can be contacted via phone (510) 791-0971.

Contact Information

Primary practice address
1895 Mowry Ave Ste 121 Fremont CA 94538-1737
Phone: (510) 791-0971
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 61014 California

Profile Details

NPI number 1720335698
LBN Legal business name Chang, Jonathan Duk Gen
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2012
Last updated Aug 6th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers