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Individual

MR. JONG J CHUNG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
13626 WARWICK BLVD, STE A, NEWPORT NEWS, VA 23602-5566
(757) 833-7217
(757) 833-0134
Mailing address
13626 WARWICK BLVD, STE A, NEWPORT NEWS, VA 23602-5566
(757) 833-7217
(757) 833-0134

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401008234
VA
122300000X
Dentist
8234
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0006139
VA
05
7803249
VA
Enumeration date
12/22/2006
Last updated
01/02/2020
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