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Organization
JAE YON CHUNG DMD DENTAL CORPORATION
Active
Organization
JAE YON CHUNG DMD DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAE Y CHUNG (PRESIDENT)
(310) 346-2148
Entity
Organization
Contact information
Practice address
1570 S WESTERN AVE STE 201, LOS ANGELES, CA 90006-4235
(310) 346-2148
Mailing address
1570 S WESTERN AVE STE 201, LOS ANGELES, CA 90006-4235
(310) 346-2148
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
06/10/2008
Last updated
06/10/2008
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