| Tony Chung,md,dmd,inc. | |
|
14600 Sherman Way Suite 260 Van Nuys CA 91405-2283 | |
| (818) 780-2062 | |
| (818) 780-5192 |
| Full Name | Tony Chung,md,dmd,inc. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 14600 Sherman Way, Van Nuys, California |
| Authorized Official Name and Position | Tony Yatshing Chung (CEO) |
| Authorized Official Contact | 8187802062 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tony Chung,md,dmd,inc. 14600 Sherman Way Suite 260 Van Nuys CA 91405-2283 Ph: (818) 780-2062 | Tony Chung,md,dmd,inc. 14600 Sherman Way Suite 260 Van Nuys CA 91405-2283 Ph: (818) 780-2062 |
| NPI Number | 1619158367 |
|---|---|
| Provider Enumeration Date | 11/23/2007 |
| Last Update Date | 11/23/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619158367 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | OMS 11 (California) | Primary |
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