Individual
DR. DAVID CHUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1001 SHADOW LN # MS 7422, LAS VEGAS, NV 89106-4124
(702) 774-2538
Mailing address
9610 DEER PARK AVE, LAS VEGAS, NV 89148-4200
(201) 575-1757
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
044016
NY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
S3-379C
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02249585
—
NY
Enumeration date
11/01/2006
Last updated
11/06/2024
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