Alexander Yong-kwon Chung Dental Corporation | |
215 N State College Blvd Ste J Anaheim CA 92806-2995 | |
(714) 333-0770 | |
(657) 208-3373 |
Full Name | Alexander Yong-kwon Chung Dental Corporation |
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Speciality | Dentist - Prosthodontics |
Location | 215 N State College Blvd Ste J, Anaheim, California |
Authorized Official Name and Position | Alexander Yong-kwon Chung (PRESIDENT) |
Authorized Official Contact | 7143661974 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Alexander Yong-kwon Chung Dental Corporation 215 N State College Blvd Ste J Anaheim CA 92806-2995 Ph: (714) 333-0770 | Alexander Yong-kwon Chung Dental Corporation 215 N State College Blvd Ste J Anaheim CA 92806-2995 Ph: (714) 333-0770 |
NPI Number | 1548887318 |
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Provider Enumeration Date | 06/28/2020 |
Last Update Date | 06/28/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548887318 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0700X | Dentist - Prosthodontics | (* (Not Available)) | Primary |
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