Individual
DR. DYEUS M CHUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
1840 FOLSOM ST STE 302, BOULDER, CO 80302-5712
(303) 938-8300
Mailing address
1840 FOLSOM ST STE 302, BOULDER, CO 80302-5712
(303) 938-8300
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
13905
MD
1223P0300X
Periodontics
2901018462
MI
1223P0300X
Periodontics
DE00010389
WA
Other
Enumeration date
10/16/2006
Last updated
09/18/2015
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