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General NPI Number Information
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NPI Number | 1356931117
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Entity Type | Organization
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Legal Business Name | JH CHUN DDS INC.
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Dates
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Enumeration Date | 01/25/2021
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Last Update Date | 08/25/2022
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Provider Practice Location Address
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Address Line | 180 E 4TH ST STE A
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City | PERRIS
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State | CA
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Zip | 92570-2114
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Country | US
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Telephone | 951-657-3102
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Fax |
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Provider Business Mailing Address
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Address Line | 210 W C ST
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City | ONTARIO
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State | CA
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Zip | 91762-3404
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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 | JIHEE CHUN
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Credential |
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Telephone | 909-648-3707
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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