Individual
AMANDA CAROLYN CHUONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
227 WASHINGTON ST, ATTLEBORO, MA 02703-5554
(508) 399-5432
Mailing address
108 ROCKFORD ST, BROCKTON, MA 02301-4851
(150) 884-6416
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1859106
MA
Other
Enumeration date
06/04/2021
Last updated
07/29/2021
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