Individual
EARNEST CHAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11395 ATLANTIC AVE, LYNWOOD, CA 90262-2485
(310) 639-0884
Mailing address
19016 BLOOMFIELD AVE, CERRITOS, CA 90703-7103
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
111091
CA
Other
Enumeration date
05/23/2019
Last updated
02/12/2025
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