Individual
DR. KRISTY CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
860 E. REMINGTON DR. SUITE A, SUNNYVALE, CA 94087
(408) 675-1700
(408) 542-9797
Mailing address
860 E. REMINGTON DR. SUITE A, SUNNYVALE, CA 94087
(408) 675-1700
(408) 542-9797
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
20693
MA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
51563
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0204358
—
MA
Enumeration date
07/08/2006
Last updated
09/21/2015
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