| Doc Chung Dental Group - Chino, Inc. | |
|
13197 Central Ave Ste 103 Chino CA 91710-4178 | |
| (909) 627-8501 | |
| (909) 627-1784 |
| Full Name | Doc Chung Dental Group - Chino, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 13197 Central Ave Ste 103, Chino, California |
| Authorized Official Name and Position | Wing Yiu Chung (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 9096278501 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Doc Chung Dental Group - Chino, Inc. 13197 Central Ave Ste 103 Chino CA 91710-4178 Ph: (909) 627-8501 | Doc Chung Dental Group - Chino, Inc. 13197 Central Ave Ste 103 Chino CA 91710-4178 Ph: (909) 627-8501 |
| NPI Number | 1124556469 |
|---|---|
| Provider Enumeration Date | 05/31/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124556469 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Joo Kim Dental Professional Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4531 Philadelphia St Ste B107, Chino, CA 91710 Phone: 213-595-1410 | |
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