| Jae Yon Chung Dental Inc | |
|
1075 N Western Ave Suite 102 Los Angeles CA 90029-2307 | |
| (323) 466-4567 | |
| (323) 733-0150 |
| Full Name | Jae Yon Chung Dental Inc |
|---|---|
| Speciality | Dentist |
| Location | 1075 N Western Ave, Los Angeles, California |
| Authorized Official Name and Position | Jae Y Chung (PRESIDENT) |
| Authorized Official Contact | 3234664567 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jae Yon Chung Dental Inc 1075 N Western Ave Suite 102 Los Angeles CA 90029-2307 Ph: (323) 466-4567 | Jae Yon Chung Dental Inc 1075 N Western Ave Suite 102 Los Angeles CA 90029-2307 Ph: (323) 466-4567 |
| NPI Number | 1245576321 |
|---|---|
| Provider Enumeration Date | 12/18/2012 |
| Last Update Date | 02/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245576321 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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