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Individual

DR. BUM MO CHUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
1040 GARLAND DR, SUITE 200, BOGART, GA 30622-3201
(770) 725-7377
Mailing address
516 SUWANEE EAST DR, LAWRENCEVILLE, GA 30043-1404
(404) 642-0888

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN015032
GA

Other

Enumeration date
08/11/2015
Last updated
08/11/2015
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