Organization · Type 2 NPI
Tae Hun Chung DDS Inc
Dental Clinic/Center · Poway, CA
NPI number
1306093406
Active
Practice location
12845 Poway Rd Ste 400
Poway, CA 92064-4528
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 55318 (CA) |
Dental Clinic/Center: Definition to come...
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About NPI 1306093406
Tae Hun Chung DDS Inc's National Provider Identifier is 1306093406, issued on Aug 20, 2008. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Poway, CA. The record was last updated on Aug 20, 2008.