Individual
DANIEL JISUNG CHUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
275 VICTORIA ST, SUITE 2E, COSTA MESA, CA 92627-1906
(949) 631-1420
(949) 548-8844
Mailing address
275 VICTORIA ST, SUITE 2E, COSTA MESA, CA 92627-1906
(949) 631-1420
(949) 548-8844
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
53699
CA
Other
Enumeration date
02/08/2007
Last updated
01/21/2009
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