Dr Miriam Chung Dds Pc | |
1096 Revere Beach Pkwy Chelsea MA 02150-1454 | |
(646) 812-3022 | |
Not Available |
Full Name | Dr Miriam Chung Dds Pc |
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Speciality | Clinic/center - Dental |
Location | 1096 Revere Beach Pkwy, Chelsea, Massachusetts |
Authorized Official Name and Position | Miriam Chung (CEO) |
Authorized Official Contact | 6468123022 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dr Miriam Chung Dds Pc 3450 Wayne Ave Apt 19d Bronx NY 10467-0833 Ph: (646) 812-3022 | Dr Miriam Chung Dds Pc 1096 Revere Beach Pkwy Chelsea MA 02150-1454 Ph: (646) 812-3022 |
NPI Number | 1902313646 |
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Provider Enumeration Date | 01/03/2018 |
Last Update Date | 01/03/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902313646 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | DN1857812 (Massachusetts) | Primary |
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