Organization
CHUNG DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER CHUNG DDS (PRESIDENT)
(415) 823-4005
Entity
Organization
Contact information
Practice address
1765 E BAYSHORE RD, SUITE H, EAST PALO ALTO, CA 94303-2503
(415) 608-1710
Mailing address
1765 E BAYSHORE RD, SUITE H, EAST PALO ALTO, CA 94303-2503
(415) 608-1710
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
54242
CA
Other
Enumeration date
02/18/2014
Last updated
04/23/2014
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