Daniel Jisung Chung, DDS
NPI #1366583015 in Costa Mesa, California
Provider Information
- NPI Number
- 1366583015
- Entity Type
- Individual
- Name
- Daniel Jisung Chung, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Feb 8, 2007
- Last Updated
- Jan 21, 2009
Practice Location
- Address
- 275 VICTORIA ST
- Address 2
- SUITE 2E
- City
- Costa Mesa
- State
- California
- ZIP Code
- 92627-1906
- Phone
- (949) 631-1420
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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