Organization
AMITY DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTLE H CHUONG D.D.S. (DOCTOR/OWNER)
(610) 385-0022
Entity
Organization
Contact information
Practice address
957 BEN FRANKLIN HWY W, DOUGLASSVILLE, PA 19518-1037
(610) 385-0022
(610) 385-0025
Mailing address
957 BEN FRANKLIN HWY W, DOUGLASSVILLE, PA 19518-1037
(610) 385-0022
(610) 385-0025
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DS-028367L
PA
1223G0001X
General Practice Dentistry
Primary
DS-028827L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
761563
UNITED CONCORIDA DENTAL
PA
Enumeration date
07/20/2016
Last updated
07/20/2016
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