Individual
DR. CHRISTINE HUYEN CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
24310 MOULTON PKWY, SUITE C1, LAGUNA WOODS, CA 92637-3306
(714) 859-3988
(949) 859-3578
Mailing address
24310 MOULTON PKWY, SUITE C1, LAGUNA WOODS, CA 92637-3306
(714) 859-3988
(949) 859-3578
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
43474
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33-089-6800
TAX I.D.NUMBER
CA
01
—
G91961-01
DENTI-CAL
CA
Enumeration date
09/29/2006
Last updated
07/08/2007
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