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General NPI Number Information
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NPI Number | 1164302790
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Entity Type | Organization
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Legal Business Name | PAUL CHUNG, DDS, INC
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Dates
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Enumeration Date | 09/04/2025
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 629 S 2ND AVE
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City | COVINA
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State | CA
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Zip | 91723-3518
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Country | US
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Telephone | 626-915-8744
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Fax |
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Provider Business Mailing Address
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Address Line | 3229 RICHELE CT
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City | CHINO HILLS
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State | CA
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Zip | 91709-1428
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | PAUL CHUNG
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Credential | DDS
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Telephone | 909-702-4236
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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