| Tina S. Chung, Dmd, Ms, Llc | |
|
1005 Clifton Avenue Clifton NJ 07013 | |
| (973) 773-2933 | |
| (973) 773-5723 |
| Full Name | Tina S. Chung, Dmd, Ms, Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1005 Clifton Avenue, Clifton, New Jersey |
| Authorized Official Name and Position | Tina S. Chung (MANAGER OF LLC) |
| Authorized Official Contact | 9737732933 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tina S. Chung, Dmd, Ms, Llc 1005 Clifton Avenue Clifton NJ 07013 Ph: (973) 773-2933 | Tina S. Chung, Dmd, Ms, Llc 1005 Clifton Avenue Clifton NJ 07013 Ph: (973) 773-2933 |
| NPI Number | 1518038090 |
|---|---|
| Provider Enumeration Date | 11/13/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518038090 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DI19816 (New Jersey) | Primary |
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