| Chung Dental Group Inc. | |
|
24307 Southland Dr Hayward CA 94545-1517 | |
| (510) 785-3900 | |
| Not Available |
| Full Name | Chung Dental Group Inc. |
|---|---|
| Speciality | Dentist |
| Location | 24307 Southland Dr, Hayward, California |
| Authorized Official Name and Position | Jin Chung (PRESIDENT) |
| Authorized Official Contact | 5107853900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chung Dental Group Inc. 24307 Southland Dr Hayward CA 94545-1517 Ph: (510) 785-3900 | Chung Dental Group Inc. 24307 Southland Dr Hayward CA 94545-1517 Ph: (510) 785-3900 |
| NPI Number | 1376002634 |
|---|---|
| Provider Enumeration Date | 03/17/2019 |
| Last Update Date | 01/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376002634 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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