Individual
JUSTIN DAVID CHUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
483 MIDDLE TPKE W STE 209, MANCHESTER, CT 06040-3864
(860) 649-3129
Mailing address
483 MIDDLE TPKE W STE 209, MANCHESTER, CT 06040-3864
(860) 649-3129
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12244
CT
Other
Enumeration date
06/20/2017
Last updated
02/24/2021
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