Individual
CHRISTINA K. CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
8201 GOLF COURSE RD NW STE C3, ALBUQUERQUE, NM 87120-5805
(505) 892-9010
Mailing address
8201 GOLF COURSE RD NW STE C3, ALBUQUERQUE, NM 87120-5805
(505) 892-9010
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD3689
NM
1223G0001X
General Practice Dentistry
58114
CA
Other
Enumeration date
03/09/2009
Last updated
01/30/2013
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