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Individual

YOUNG DONG CHUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
700 N VALLEY ST STE F-G, ANAHEIM, CA 92801-3824
(714) 502-0900
Mailing address
700 N VALLEY ST STE F-G, ANAHEIM, CA 92801-3824

Taxonomy

Speciality
Code
Description
License number
State
126900000X
Dental Laboratory Technician
Primary

Other

Enumeration date
04/23/2018
Last updated
04/23/2018
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