Individual
CHIEH-YU CHUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2327 COTTMAN AVE, PHILADELPHIA, PA 19149
(215) 332-8700
Mailing address
2327 COTTMAN AVE, PHILADELPHIA, PA 19149-1008
(215) 332-8700
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS041922
PA
Other
Enumeration date
03/27/2017
Last updated
05/06/2019
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