| Ping-lin Ben Chung, Dds, Dmsc, Inc | |
|
613 N Azusa Ave Ste A Azusa CA 91702-2968 | |
| (909) 393-5688 | |
| (909) 393-5288 |
| Full Name | Ping-lin Ben Chung, Dds, Dmsc, Inc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 613 N Azusa Ave Ste A, Azusa, California |
| Authorized Official Name and Position | Ping-lin Ben Chung (PRESIDENT) |
| Authorized Official Contact | 9093935688 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ping-lin Ben Chung, Dds, Dmsc, Inc 4200 Chino Hills Pkwy Ste 860 Chino Hills CA 91709-3784 Ph: (909) 393-5688 | Ping-lin Ben Chung, Dds, Dmsc, Inc 613 N Azusa Ave Ste A Azusa CA 91702-2968 Ph: (909) 393-5688 |
| NPI Number | 1689028565 |
|---|---|
| Provider Enumeration Date | 04/18/2016 |
| Last Update Date | 04/18/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689028565 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 54943 (California) | Primary |
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