Individual
CHIH CHANG CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
13527 38TH AVE, SUITE 368, FLUSHING, NY 11354-4406
(718) 961-6668
(718) 961-6699
Mailing address
13527 38TH AVE, SUITE 368, FLUSHING, NY 11354-4406
(718) 961-6668
(718) 961-6699
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
47433
NY
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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