Individual
DR. CHONG PAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1064 SARATOGA AVE, SAN JOSE, CA 95129-3402
(408) 244-8020
Mailing address
1064 SARATOGA AVE, SAN JOSE, CA 95129-3402
(408) 244-8020
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
39861
CA
Other
Enumeration date
01/17/2007
Last updated
07/08/2007
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