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Individual

DR. MINGI CHUNG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
1264 W VILLAGE MAIN DR UNIT B, WEST VALLEY CITY, UT 84119-1952
(801) 978-1000
Mailing address
1264 W VILLAGE MAIN DR UNIT B, WEST VALLEY CITY, UT 84119-1952

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10366578-9922
UT

Other

Enumeration date
07/03/2017
Last updated
07/03/2017
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