Individual
AMY CHONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
164 W HOSPITALITY LN STE 14, SAN BERNARDINO, CA 92408-3329
(909) 888-7817
(909) 888-5280
Mailing address
PO BOX 6950, SAN BERNARDINO, CA 92412-6950
(909) 888-7817
(909) 888-5280
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
44855
CA
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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