Individual
CHEOLWON CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2631 FAUDREE RD STE B, ODESSA, TX 79765-8530
(432) 339-4444
Mailing address
4800 ALLENDALE RD APT 1423, HOUSTON, TX 77017-5480
(832) 638-9428
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
34162
TX
Other
Enumeration date
06/09/2018
Last updated
06/09/2018
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