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DOC CHUNG DENTAL GROUP - CHINO INC. NPI 1124556469


NPI Information

NPI: 1124556469
Provider Name: DOC CHUNG DENTAL GROUP - CHINO, INC.
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
13197 CENTRAL AVE STE 103
CHINO, CA
ZIP 91710
Phone: (909) 627-8501
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DOC CHUNG DENTAL GROUP - CHINO, INC. is a general practice dentist in Chino, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DOC CHUNG DENTAL GROUP - CHINO, INC. NPI is 1124556469. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

13197 CENTRAL AVE STE 103
CHINO, CA
ZIP 91710-178
Phone: (909) 627-8501
Fax: (909) 627-1784

The provider's authorized official is Wing Yiu Chung .
The authorized official title is CHIEF EXECUTIVE OFFICERExecutive Officer and has the following contact phone number (909) 627-8501.

The enumeration date for this NPI number is 5/31/2017 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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