Organization
JUSTIN TONY CHUNG DDS, INC
Active
Other names
Eva dental center
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN TONY CHUNG DDS (CEO)
(714) 775-3699
Entity
Organization
Contact information
Practice address
9550 BOLSA AVE STE 218, WESTMINSTER, CA 92683-5948
(714) 775-3699
(714) 775-3899
Mailing address
9550 BOLSA AVE STE 218, WESTMINSTER, CA 92683-5948
(714) 775-3699
(714) 775-3899
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
56138
CA
Other
Enumeration date
11/06/2010
Last updated
11/06/2010
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