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General NPI Number Information
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NPI Number | 1568972313
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Entity Type | Organization
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Legal Business Name | FRANCIS CHUNG DDS INC II
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Dates
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Enumeration Date | 10/06/2017
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Last Update Date | 02/28/2020
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Provider Practice Location Address
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Address Line | 111 DEERWOOD RD STE 372
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City | SAN RAMON
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State | CA
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Zip | 94583-4409
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Country | US
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Telephone | 925-553-7349
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Fax |
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Provider Business Mailing Address
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Address Line | 111 DEERWOOD RD STE 372
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City | SAN RAMON
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State | CA
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Zip | 94583-4409
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Country | US
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Telephone | 925-553-7349
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Fax |
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Authorized Official
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Title or Position | OWNER, CEO
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Name | DR. FRANCIS HYUNJIN CHUNG
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Credential | DDS
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Telephone | 925-553-7349
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 45561
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License Number State | CA
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