Individual
DR. OTIS T CHONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
30190 TOWN CENTER DRIVE, SUITE B, LAGUNA NIGUEL, CA 92677
(949) 363-2540
(949) 363-3352
Mailing address
30190 TOWN CENTER DRIVE, SUITE B, LAGUNA NIGUEL, CA 92677
(949) 363-2540
(949) 363-3352
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
215521
MA
1223E0200X
Endodontics
Primary
56385
CA
Other
Enumeration date
03/14/2008
Last updated
01/25/2017
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