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Tae Hun Chung Dds Inc
Dental Clinic/Center in Poway, California
NPI 1306093406

Tae Hun Chung Dds Inc is a Dental Clinic/Center based in Poway, CA and is specialized in Dental. Tae Hun Chung Dds Inc practices in Poway, CA. The NPI Number for Tae Hun Chung Dds Inc is 1306093406 and holds a License No. 55318 (California).

The current practice location address for Tae Hun Chung Dds Inc is 12845 Poway Rd Ste 400, Poway, CA and can be reached out via phone at 858-513-1065.

Location: 12845 Poway Rd Ste 400, Poway, CA, 92064-4528
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1306093406
Provider Name
Tae Hun Chung Dds Inc
Credential
Provider Entity Type
Organization
Address
12845 Poway Rd Ste 400, Poway, CA, 92064-4528
Phone Number
858-513-1065
Fax Number
Provider Enumeration Date
08/20/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12845 Poway Rd Ste 400
City
Poway
State
California
Zip
92064-4528
Phone Number
858-513-1065
Fax Number
person
Provider Business Mailing Address Details
Address
12845 Poway Rd Ste 400
City
Poway
State
California
Zip
92064-4528
Phone Number
858-513-1065
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
55318 (California)
Definition
Definition to come...
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