Organization
CHERISSA W CHONG, DMD, MS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERISSA CHONG D.M.D, M.S. (OWNER)
(408) 805-9198
Entity
Organization
Contact information
Practice address
12280 SARATOGA SUNNYVALE, SUITE 101, SARATOGA, CA 95070
(408) 805-9198
Mailing address
12280 SARATOGA SUNNYVALE, SUITE 101, SARATOGA, CA 95070
(408) 805-9198
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223P0300X
Periodontics
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
02/14/2019
Last updated
02/14/2019
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