| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JENNIFER WENCHI CHANG | 1952080699 | 2024-06-09 |
Jennifer Wenchi Chang is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1952080699. Registration indicates Jennifer Wenchi Chang is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care) Access to Dentists-General (Dental Providers, Dentist) (Dental Providers, Dentist) (Dentist: General Practice, ) (Dental, ) (Dentist General Practice, Dental Providers) (Dentist, )
| Entity Type | Individual |
| Provider Name | Jennifer Wenchi Chang |
| Practice Office Address | 2325 MONET TER FREMONT, CA US |
| Practice Office Telephone | 5103664947 |
| Mailing Address | 2325 MONET TER FREMONT, CA 945392507 US |
| Code | Practice | License No State |
|---|---|---|
| 390200000X | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care | |
| 1223G0001X PRIMARY | Access to Dentists-General Dental Providers Dentist Dental Providers Dentist Dentist: General Practice Dental Dentist General Practice Dental Providers Dentist | 109839
CA |