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General NPI Number Information
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NPI Number | 1811801467
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Entity Type | Organization
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Legal Business Name | CHUNG DENTISTRY APC
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Dates
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Enumeration Date | 09/30/2026
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Last Update Date | 09/30/2026
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Provider Practice Location Address
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Address Line | 851 W PACIFIC COAST HWY
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City | WILMINGTON
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State | CA
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Zip | 90744-2549
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Country | US
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Telephone | 310-830-3620
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Fax | 310-830-3534
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Provider Business Mailing Address
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Address Line | 20529 VICTOR ST
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City | TORRANCE
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State | CA
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Zip | 90503-2240
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Country | US
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Telephone | 818-527-5637
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | RICHARD CHUNG
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Credential | DDS
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Telephone | 310-387-4225
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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 | NULL
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