Individual
DR. KWANG HYUN CHUNG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2703 MAHONING AVE, STE 204, YOUNGSTOWN, OH 44509-2337
(330) 793-5511
(330) 793-8740
Mailing address
2703 MAHONING AVE, STE 204, YOUNGSTOWN, OH 44509-2337
(330) 793-5511
(330) 793-8740
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30015087
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0329817
—
OH
Enumeration date
04/20/2006
Last updated
07/08/2007
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