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NPI Code Detail

MEDICARE: DR. WING Y CHUNG DDS

MEDICARE: DR. WING Y CHUNG DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry37323CA

General Provider Information

NPI Number : 1699856930
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WING Y CHUNG DDS
Provider Business Mailing Address
First Line : 172 W COLLEGE ST
Second Line :
City : COVINA
State : CA
Zip : 91723-2007
Country : US
Telephone Number : 626-974-0905
Fax Number : 626-974-5775
Provider Business Practice Location Address
First Line : 172 W COLLEGE ST
Second Line :
City : COVINA
State : CA
Zip : 91723-2007
Country : US
Telephone Number : 626-974-0905
Fax Number : 626-974-5775
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2006
Last Update Date : 07/08/2007

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Directions to “ DR. WING Y CHUNG DDS” Practice Location

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