Organization
NORTH OCONEE FAMILY DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BUM MO CHUNG (OWNER)
(678) 661-0709
Entity
Organization
Contact information
Practice address
1040 GARLAND DR STE 200, BOGART, GA 30622-3201
(678) 661-0709
Mailing address
1040 GARLAND DR STE 200, BOGART, GA 30622-3201
(678) 661-0709
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/07/2018
Last updated
11/07/2018
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