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Organization
JUSTIN TONY CHUNG DDS, INC
Active
Organization
JUSTIN TONY CHUNG DDS, INC
Active
Other names
Eva dental center
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN TONY CHUNG DDS (CEO)
(714) 775-3699
Entity
Organization
Contact information
Practice address
9550 BOLSA AVE STE 218, WESTMINSTER, CA 92683-5948
(714) 775-3699
(714) 775-3899
Mailing address
9550 BOLSA AVE STE 218, WESTMINSTER, CA 92683-5948
(714) 775-3699
(714) 775-3899
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
56138
CA
Other
Enumeration date
11/06/2010
Last updated
11/06/2010
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