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Oral Surgery, Dental Specialists

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PATRICK JOHN KONG CHANG DDS

Dental Public Health

Honolulu, Hawaii

Provider NPI: 1659379311

Provider Information:
 PATRICK JOHN KONG CHANG DDS
Gender: M


Practice Location:
1700 LANAKILA AVE 203 HONOLULU, HI 96817 US
Tel: 808-832-5710  Fax: --

Business Mailing Address:
1700 LANAKILA AVE 203 HONOLULU, HI 96817 US
Tel: 808-832-5710  Fax: --

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223D0001XDental Providers
Dentist
Dental Public Health
HIDT 1701

Other Provider Identifiers:

IssuerNumberStateType
070300-01HI05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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