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Individual

DR. JASON CHONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
515 MOOS HEALTH SCIENCE TOWER, 9-176, MINNEAPOLIS, MN 55455
(612) 625-5655
Mailing address
515 MOOS HEALTH SCIENCE TOWER, 9-176, MINNEAPOLIS, MN 55455
(612) 625-5655

Taxonomy

Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
D12653
MN

Other

Enumeration date
08/10/2009
Last updated
01/28/2010
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