Individual
EUIYOUNG CHONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
17160 W NORTH AVE STE 101, BROOKFIELD, WI 53005-4437
(626) 833-7445
Mailing address
17160 W NORTH AVE STE 101, BROOKFIELD, WI 53005-4437
(626) 833-7445
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
100189815
WI
1223G0001X
General Practice Dentistry
4345
WI
Other
Enumeration date
07/30/2018
Last updated
11/06/2019
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