Individual
DR. KI Y CHUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
9910 TRACY LOOP, W3ZS USA DENTAC FT BELVOI, FT BELVOIR, VA 22060-5443
(562) 455-5574
Mailing address
9910 TRACY LOOP, W3ZS USA DENTAC FT BELVOI, FT BELVOIR, VA 22060-5443
(562) 455-5574
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D-4528
ID
Other
Enumeration date
09/05/2013
Last updated
07/10/2014
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