Individual
DR. CHERISSA CHONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
655 S FAIR OAKS AVE APT E315, SUNNYVALE, CA 94086-7829
(443) 481-8518
Mailing address
655 S FAIR OAKS AVE APT E315, SUNNYVALE, CA 94086-7829
(443) 481-8518
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DS039113
PA
1223P0300X
Periodontics
100280
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
100280
CA
Other
Enumeration date
10/12/2012
Last updated
11/10/2016
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