Organization
MICHELLE CHUNG, DMD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE CHUNG DMD (MANAGER)
(770) 598-5082
Entity
Organization
Contact information
Practice address
221 MAHALANI ST, WAILUKU, HI 96793-2526
(808) 874-8401
Mailing address
PO BOX 1588, WAILUKU, HI 96793-6588
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DT-2478
HI
Other
Enumeration date
08/10/2014
Last updated
08/10/2014
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