Individual
ISAAC DU QUOC CHUNG
Active
Individual
ISAAC DU QUOC CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DEN.00203039
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720508518
—
CO
01
—
DEN.00203039
CO DENTAL LICENSE
CO
Enumeration date
06/22/2017
Last updated
01/21/2022
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