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General NPI Number Information
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NPI Number | 1881151330
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Entity Type | Organization
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Legal Business Name | JH CHUN DENTAL GROUP CORPORATION
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Dates
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Enumeration Date | 02/20/2019
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Last Update Date | 05/17/2019
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Provider Practice Location Address
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Address Line | 1245 W CENTRAL AVE
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City | BREA
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State | CA
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Zip | 92821-2407
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Country | US
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Telephone | 714-255-1736
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Fax |
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Provider Business Mailing Address
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Address Line | 212 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 | 909-657-4494
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JIHEE CHUN
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Credential | DDS
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Telephone | 909-984-4444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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