Kim, Chang
Kim, Chang is an sole proprietor health care provider with primary practice located at 1971 Mcculloch Blvd N Ste 100 , Lake Havasu City AZ 86403-6118. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Kim, Chang can be contacted via phone (928) 733-6070.Contact Information
Primary practice address
1971 Mcculloch Blvd N Ste 100
Lake Havasu City AZ 86403-6118
Phone: (928) 733-6070
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D009530 | Arizona |
Profile Details
| NPI number | 1780036475 |
|---|---|
| LBN Legal business name | Kim, Chang |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 6th, 2016 |
| Last updated | Jul 6th, 2016 - about 9 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.
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