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Organization
NICOLE CHUNG DMD ENDODONTIC DENTAL PRACTICE
Active
Organization
NICOLE CHUNG DMD ENDODONTIC DENTAL PRACTICE
Active
Other names
Five Cities Endodontics
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE CHUNG DMD (CEO/OWNER)
(909) 913-3429
Entity
Organization
Contact information
Practice address
143 S MASON ST, ARROYO GRANDE, CA 93420-3312
(909) 913-3429
Mailing address
830 TARRAGON LN, SAN LUIS OBISPO, CA 93401-7264
(909) 913-3429
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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