Individual
GRACE CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1471 DEKALB AVE FL 3, BROOKLYN, NY 11237-3895
(718) 443-4444
Mailing address
1471 DEKALB AVE FL 3, BROOKLYN, NY 11237-3895
(718) 443-4444
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
061945
NY
Other
Enumeration date
08/31/2021
Last updated
08/31/2021
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