NPIRadar

Kwang-Su Peter Chung, D.D.S. Valid NPI

Individual provider · General Practice Dentistry · Loma Linda, CA

NPI
1366844888
Type
Individual (Type 1)
Primary specialty
General Practice Dentistry (Dentist)
Specialty group
Dental Providers
Taxonomy code
1223G0001X
License number
26047 (CA)
Sex
Male
Sole proprietor
Yes
Enumerated
2014-09-16
Last updated
2014-09-16
Practice location
11546 Murphy St
Loma Linda, CA 92354-3620
(909) 237-3953

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