Nicole Chung Dmd Endodontic Dental Practice | |
143 S Mason St Arroyo Grande CA 93420-3312 | |
(909) 913-3429 | |
Not Available |
Full Name | Nicole Chung Dmd Endodontic Dental Practice |
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Speciality | Clinic/center - Dental |
Location | 143 S Mason St, Arroyo Grande, California |
Authorized Official Name and Position | Nicole Chung (CEO/OWNER) |
Authorized Official Contact | 9099133429 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Nicole Chung Dmd Endodontic Dental Practice 830 Tarragon Ln San Luis Obispo CA 93401-7264 Ph: (909) 913-3429 | Nicole Chung Dmd Endodontic Dental Practice 143 S Mason St Arroyo Grande CA 93420-3312 Ph: (909) 913-3429 |
NPI Number | 1902528672 |
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Provider Enumeration Date | 09/19/2022 |
Last Update Date | 09/19/2022 |
Identifier | Type | State | Issuer |
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1902528672 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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