Individual
DR. CHARLES CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2860 JOHNSON FERRY RD, SUITE 100, MARIETTA, GA 30062-8339
(770) 998-5290
(770) 552-4795
Mailing address
2860 JOHNSON FERRY RD, SUITE 100, MARIETTA, GA 30062-8339
(404) 545-4633
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN013756
GA
Other
Enumeration date
06/24/2008
Last updated
07/19/2010
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