| Seunghwan Chung D.d.s., Inc. | |
|
7291 Boulder Ave Ste 2b Highland CA 92346-6900 | |
| (909) 425-8980 | |
| Not Available |
| Full Name | Seunghwan Chung D.d.s., Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 7291 Boulder Ave Ste 2b, Highland, California |
| Authorized Official Name and Position | Seunghwan Chung (PRESIDENT) |
| Authorized Official Contact | 9094258980 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Seunghwan Chung D.d.s., Inc. 2117 N Villa Maria Rd Claremont CA 91711-1657 Ph: (909) 379-9924 | Seunghwan Chung D.d.s., Inc. 7291 Boulder Ave Ste 2b Highland CA 92346-6900 Ph: (909) 425-8980 |
| NPI Number | 1669184032 |
|---|---|
| Provider Enumeration Date | 12/19/2022 |
| Last Update Date | 05/07/2024 |
| Medicare PECOS PAC ID | 6204374531 |
|---|---|
| Medicare Enrollment ID | O20240816002740 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669184032 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| Provider Name | Seunghwan Chung |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1629568688 PECOS PAC ID: 9830637164 Enrollment ID: I20240816002788 |
Marjorie A Ramos Dmd A Professional Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4160 Highland Ave Ste 6-c, Highland, CA 92346 Phone: 909-425-2700 Fax: 909-425-2727 | |
Highland Village Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7291 Boulder Ave Ste 2b, Highland, CA 92346 Phone: 909-425-8980 Fax: 909-425-2684 | |