Individual
DR. KEVIN K CHUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
5-01 PARSONS BLVD., WHITESTONE, NY 11357
(917) 557-1460
Mailing address
5-01 PARSONS BLVD., WHITESTONE, NY 11357
(917) 557-1460
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
055779
NY
Other
Enumeration date
09/12/2011
Last updated
09/12/2011
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