Organization · Type 2 NPI

Nicole Chung DMD Endodontic Dental Practice

Dental Clinic/Center · Arroyo Grande, CA

NPI number 1902528672 Active

Practice location

143 S Mason St
Arroyo Grande, CA 93420-3312

Mailing address

830 Tarragon Ln
San Luis Obispo, CA 93401-7264

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

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About NPI 1902528672

Nicole Chung DMD Endodontic Dental Practice's National Provider Identifier is 1902528672, issued on Sep 19, 2022. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Arroyo Grande, CA. The record was last updated on Sep 19, 2022.