Carlos R Chong a Professional Dental Corporation
NPI #1154525590 in Encinitas, California
Provider Information
- NPI Number
- 1154525590
- Entity Type
- Organization
- Organization Name
- Carlos R Chong a Professional Dental Corporation
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jun 11, 2007
- Last Updated
- Sep 21, 2021
Practice Location
- Address
- 169 SAXONY RD STE 110
- City
- Encinitas
- State
- California
- ZIP Code
- 92024-6779
- Phone
- (760) 634-7980
Authorized Official
- Name
- DR. CARLOS ROBERTO CHONG, D.D.S
- Title
- PRESIDENT
- Phone
- (760) 634-7980
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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