Organization
CHUNG DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KWANG-SU PETER CHUNG D.D.S. (PRESIDENT)
(619) 435-6227
Entity
Organization
Contact information
Practice address
1301 YNEZ PL, CORONADO, CA 92118-2925
(619) 435-6227
(619) 435-4717
Mailing address
1301 YNEZ PL, CORONADO, CA 92118-2925
(619) 435-6227
(619) 435-4717
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
26047
CA
Other
Enumeration date
03/16/2007
Last updated
08/22/2020
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