Organization
NICOLE CHUNG DMD ENDODONTIC DENTAL PRACTICE
Active
Other names
Five Cities Endodontics
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE CHUNG DMD (CEO/OWNER)
(909) 913-3429
Entity
Organization
Contact information
Practice address
143 S MASON ST, ARROYO GRANDE, CA 93420-3312
(909) 913-3429
Mailing address
830 TARRAGON LN, SAN LUIS OBISPO, CA 93401-7264
(909) 913-3429
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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