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Individual
WOOJAE CHONG
Active
Individual
WOOJAE CHONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DN014625
GA
1223P0300X
Periodontics
DS036552
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN014625
GEORGIA BOARD OF DENTISTRY
GA
01
—
DS036552
DENTAL LICENSE NUMBER
PA
Enumeration date
05/28/2008
Last updated
02/17/2014
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