Cheolwon Chung, DMD Valid NPI
Individual provider · General Practice Dentistry · Odessa, TX
- NPI
- 1235622762
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 34162 (TX)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2018-06-09
- Last updated
- 2018-06-09
Practice location
2631 Faudree Rd Ste B
Odessa, TX 79765-8530
(432) 339-4444