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Organization
M. CHUNG DENTAL CORP.
Active
Organization
M. CHUNG DENTAL CORP.
Active
Other names
birdseye dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MILLIE CHUNG D.M.D. (PRESIDENT)
(626) 488-3712
Entity
Organization
Contact information
Practice address
5535 HOLLYWOOD BLVD, LOS ANGELES, CA 90028-6807
(626) 488-3712
Mailing address
5321 1/4 DOCKWEILER PL, LOS ANGELES, CA 90019-2623
(626) 488-3712
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
60224
CA
Other
Enumeration date
11/03/2014
Last updated
11/03/2014
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