Dr. Mingi Chung, DMD
Dentist, General Practice in West Valley City, UT. Individual provider (NPI-1).
NPI number1316468010
StatusActive
Last updated in NPPESJul 3, 2017
Details
- NPI
- 1316468010
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mingi Chung
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 3, 2017
- Last updated
- Jul 3, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 10366578-9922 | UT | Yes |
Practice location
1264 W Village Main Dr Unit BWest Valley City, UT 84119-1952
Phone 801-978-1000
Mailing address
1264 W Village Main Dr Unit BWest Valley City, UT 84119-1952
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