Organization
IRVINE KID'S DENTIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROLYN E CHONG DDS (CO-OWNER)
(949) 653-2828
Entity
Organization
Contact information
Practice address
4980 BARRANCA PKWY STE 101, IRVINE, CA 92604-8654
(949) 653-2828
Mailing address
4980 BARRANCA PKWY STE 101, IRVINE, CA 92604-8654
(949) 653-2828
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
06/20/2024
Last updated
06/20/2024
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