Individual
DR. JAE WOO CHUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
27 STRAW FLOWER, IRVINE, CA 92620-1211
(714) 980-0967
Mailing address
27 STRAW FLOWER, IRVINE, CA 92620-1211
(714) 980-0967
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
53122
CA
1223P0300X
Periodontics
D009224
AZ
Other
Enumeration date
05/01/2006
Last updated
02/26/2020
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