MEDICARE: DAVID 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
1	1223G0001X	General Practice Dentistry	4274	NV

General Provider Information

NPI Number	:	1962505875
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID CHUNG DDS

Provider Business Mailing Address
First Line	:	6885 ALIANTE PKWY.
Second Line	:	111
City	:	N. LAS VEGAS
State	:	NV
Zip	:	89084
Country	:	US
Telephone Number	:	702-515-1888
Fax Number	:

Provider Business Practice Location Address
First Line	:	6885 ALIANTE PKWY.
Second Line	:	111
City	:	N. LAS VEGAS
State	:	NV
Zip	:	89084
Country	:	US
Telephone Number	:	702-515-1888
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/06/2006
Last Update Date	:	07/08/2007

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Directions to “ DAVID CHUNG DDS” Practice Location

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