Individual
MS. CAROLYN E CHONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
15455 JEFFREY RD, SUITE 310, IRVINE, CA 92618-4100
(949) 653-2828
(949) 653-2684
Mailing address
15455 JEFFREY RD, SUITE 310, IRVINE, CA 92618-4100
(949) 653-2828
(949) 653-2684
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
47463
CA
Other
Enumeration date
06/18/2009
Last updated
06/18/2009
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