Individual
DR. JULIA CHUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1619 W US HIGHWAY 24, INDEPENDENCE, MO 64050-2345
(816) 461-0055
(816) 503-9404
Mailing address
1619 W US HIGHWAY 24, INDEPENDENCE, MO 64050-2345
(816) 461-0055
(816) 503-9404
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2011005168
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578791315
—
MO
Enumeration date
07/01/2009
Last updated
06/05/2014
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