Individual
CHUON TIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4510 FRANKFORD AVE, PHILADELPHIA, PA 19124-3602
(215) 535-1990
(215) 535-1935
Mailing address
432 N 6TH ST, PHILADELPHIA, PA 19123-4004
(215) 925-2400
(215) 925-9162
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH072013
PA
124Q00000X
Dental Hygienist
DHA002344
PA
Other
Enumeration date
01/21/2015
Last updated
01/22/2015
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