Individual
CHAN KWON CHUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
329 ALFRED AVE UNIT 557, TEANECK, NJ 07666-5772
(609) 676-5702
Mailing address
329 ALFRED AVE UNIT 557, TEANECK, NJ 07666-5772
(609) 676-5702
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
22DI03066000
NJ
Other
Enumeration date
05/15/2020
Last updated
03/30/2026
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