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Individual
CAROLYN MARIE CHONG
Active
Individual
CAROLYN MARIE CHONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S., M.S.
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
47602
CA
1223E0200X
Endodontics
DT-2001
HI
Other
Enumeration date
09/20/2006
Last updated
08/04/2008
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