Individual
TERRENCE C CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
63 GRAHAM RD STE 3, CUYAHOGA FALLS, OH 44223
(330) 920-8060
Mailing address
6835 BROADWAY AVE, METROHEALTH BROADWAY HEALTH CENTER, CLEVELAND, OH 44105-1313
(216) 957-1850
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30020785
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2218102
—
OH
Enumeration date
08/20/2006
Last updated
07/08/2007
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