Organization
PERIODONTAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT CHUNG DDS (MEMBER)
(203) 323-5900
Entity
Organization
Contact information
Practice address
61 4TH ST, STAMFORD, CT 06905-5010
(203) 323-5900
Mailing address
61 4TH ST, STAMFORD, CT 06905-5010
(203) 323-5900
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
9008
CT
Other
Enumeration date
05/29/2005
Last updated
08/22/2020
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