Provider Demographics
NPI:1811779838
Name:WOO YOUNG CHANG DMD PLLC
Entity type:Organization
Organization Name:WOO YOUNG CHANG DMD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:WON YOUNG
Authorized Official - Middle Name:
Authorized Official - Last Name:KYE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:617-913-0919
Mailing Address - Street 1:919 18TH ST NW STE 350
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20006-5517
Mailing Address - Country:US
Mailing Address - Phone:202-659-2716
Mailing Address - Fax:
Practice Address - Street 1:919 18TH ST NW STE 350
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20006-5517
Practice Address - Country:US
Practice Address - Phone:202-659-2716
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-16
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty