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Individual

CHOON CHUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
117 N MAIN ST, ASHLEY, PA 18706-2323
(570) 824-1009
(570) 824-1037
Mailing address
117 N MAIN ST, ASHLEY, PA 18706-2323
(570) 824-1009
(570) 824-1037

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS036908
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000302709
DENTAL BENEFIT PROVIDERS
PA
05
1016338340001
PA
01
9183596
DORAL DENTAL
PA
Enumeration date
10/20/2006
Last updated
03/29/2020
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