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DR. CHRIS CHANG YOONG CHUNG DDS
>> Dentist >> Dental ProvidersRegistrant NPI Number: 1528283645
Individual Registrant:DR. CHRIS CHANG YOONG CHUNG DDS
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
11635 E SOUTH ST ARTESIA, CA 90702 US
Tel: 562-924-4401 Fax: 562-924-1072
Tel: 562-924-4401 Fax: 562-924-1072
Contact information for business:
2975 CUMBERLAND RD FULLERTON, CA 92833 US
Tel: 562-690-7973 Fax: --
Tel: 562-690-7973 Fax: --
Registration Information:
NPI: 1528283645
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 122300000X | Dental Providers Dentist | CA | 45236 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
