Individual
WOOJAE CHONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
3301 PERIMETER LOFTS CIR, DUNWOODY, GA 30346-1725
(762) 233-7896
Mailing address
3301 PERIMETER LOFTS CIR, DUNWOODY, GA 30346-1725
(762) 233-7896
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DN014625
GA
1223P0300X
Periodontics
DS036552
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN014625
GEORGIA BOARD OF DENTISTRY
GA
01
—
DS036552
DENTAL LICENSE NUMBER
PA
Enumeration date
05/28/2008
Last updated
02/17/2014
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