Organization
CARLOS R CHONG A PROFESSIONAL DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS ROBERTO CHONG D.D.S (PRESIDENT)
(760) 634-7980
Entity
Organization
Contact information
Practice address
169 SAXONY RD STE 110, ENCINITAS, CA 92024-6779
(760) 634-7980
(760) 634-7982
Mailing address
169 SAXONY RD STE 110, ENCINITAS, CA 92024-6779
(760) 634-7980
(760) 634-7982
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
42640
CA
Other
Enumeration date
06/11/2007
Last updated
09/21/2021
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