Individual
DR. CHONG PEI NIKKI PUNG-YAMATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6399 CHRISTIE AVE, #338, EMERYVILLE, CA 94608-1382
(510) 260-5151
Mailing address
6399 CHRISTIE AVE, #338, EMERYVILLE, CA 94608-1382
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
055558-1
NY
1223P0221X
Pediatric Dentistry
Primary
60977
CA
Other
Enumeration date
06/03/2011
Last updated
10/11/2012
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