Organization
VICKI CHUNG DMD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICKI CHUNG DMD (PRESIDENT)
(843) 667-6460
Entity
Organization
Contact information
Practice address
1218 S CASHUA DR, FLORENCE, SC 29501-6319
(843) 667-6460
Mailing address
1218 S CASHUA DR, FLORENCE, SC 29501-6319
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3768
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZA9616
—
SC
Enumeration date
05/25/2006
Last updated
08/22/2020
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