Individual
EDWIN CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6505 216TH ST SW STE 200, MOUNTLAKE TERRACE, WA 98043-6026
(855) 433-6825
Mailing address
6950 NE CAMPUS WAY, HILLSBORO, OR 97124-5611
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00009948
WA
Other
Enumeration date
12/18/2005
Last updated
10/27/2020
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