Jennifer Phuong Chung, DMD Valid NPI

Individual provider · Dentist · Nipomo, CA

NPI

1457838658

Type

Individual (Type 1)

Primary specialty

Dentist

Specialty group

Dental Providers

Taxonomy code

122300000X

License number

102576 (CA)

Sex

Female

Sole proprietor

No

Enumerated

2018-07-20

Last updated

2024-12-11