Organization
CHRISTINE CHUNG DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE CHUNG DDS (PRESIDENT)
(949) 365-1900
Entity
Organization
Contact information
Practice address
27702 CROWN VALLEY PKWY STE A2, LADERA RANCH, CA 92694-0609
(949) 365-1900
(949) 365-1909
Mailing address
27702 CROWN VALLEY PKWY STE A2, LADERA RANCH, CA 92694-0609
(949) 365-1900
(949) 365-1909
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
43474
CA
1223G0001X
General Practice Dentistry
Primary
43474
CA
Other
Enumeration date
09/02/2010
Last updated
09/02/2010
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