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Individual

DR. TONY YATSHING CHUNG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D., D.M.D.

Contact information

Practice address
14600 SHERMAN WAY, SUITE 260, VAN NUYS, CA 91405-2283
(818) 780-2062
(818) 780-5192
Mailing address
14600 SHERMAN WAY, SUITE 260, VAN NUYS, CA 91405-2283
(818) 780-2062
(818) 780-5192

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
G069953
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
OMS 11
CA

Other

Enumeration date
09/16/2006
Last updated
07/08/2007
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