| Chung Dental Group | |
|
1765 E Bayshore Rd Suite H East Palo Alto CA 94303-2503 | |
| (415) 608-1710 | |
| Not Available |
| Full Name | Chung Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 1765 E Bayshore Rd, East Palo Alto, California |
| Authorized Official Name and Position | Christopher Chung (PRESIDENT) |
| Authorized Official Contact | 4158234005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chung Dental Group 1765 E Bayshore Rd Suite H East Palo Alto CA 94303-2503 Ph: (415) 608-1710 | Chung Dental Group 1765 E Bayshore Rd Suite H East Palo Alto CA 94303-2503 Ph: (415) 608-1710 |
| NPI Number | 1780008334 |
|---|---|
| Provider Enumeration Date | 02/18/2014 |
| Last Update Date | 04/23/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780008334 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 54242 (California) | Primary |
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