Individual
PETER K CHUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
25610 104TH AVE SE, KENT, WA 98030-7610
(253) 850-9777
Mailing address
25610 104TH AVE SE, KENT, WA 98030-7610
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE60168936
WA
Other
Enumeration date
08/04/2010
Last updated
04/05/2012
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