Individual
DIANNE CHUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
39853 PASEO PADRE PKWY, FREMONT, CA 94538-2974
(510) 668-0112
Mailing address
PO BOX 1703, FREMONT, CA 94538-0170
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
35599
CA
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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