| Kwang H. Chung,dmd, Inc. | |
|
2703 Mahoning Ave Youngstown OH 44509-2337 | |
| (330) 793-5511 | |
| (330) 793-8740 |
| Full Name | Kwang H. Chung,dmd, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 2703 Mahoning Ave, Youngstown, Ohio |
| Authorized Official Name and Position | Kwang H Chung (PRESIDENT) |
| Authorized Official Contact | 3307935511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kwang H. Chung,dmd, Inc. 2703 Mahoning Ave Youngstown OH 44509-2337 Ph: (330) 793-5511 | Kwang H. Chung,dmd, Inc. 2703 Mahoning Ave Youngstown OH 44509-2337 Ph: (330) 793-5511 |
| NPI Number | 1942747316 |
|---|---|
| Provider Enumeration Date | 01/24/2017 |
| Last Update Date | 01/24/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942747316 | NPI | - | NPPES |
| 0329817 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 30.015087 (Ohio) | Primary |
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