Cherissa W Chong, Dmd, Ms, INC
Dentist, Orthodontics and Dentofacial Orthopedics in Saratoga, CA. Organization (NPI-2).
NPI number1326504366
StatusActive
Last updated in NPPESFeb 14, 2019
Details
- NPI
- 1326504366
- Entity type
- Organization (NPI-2)
- Legal business name
- Cherissa W Chong, Dmd, Ms, INC
- Organization subpart
- No
- Enumeration date
- Feb 14, 2019
- Last updated
- Feb 14, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | – | – | Yes |
| 122300000X | Dentist | – | – | |
| 1223P0300X | Dentist, Periodontics | – | – |
Practice location
12280 Saratoga SunnyvaleSuite 101
Saratoga, CA 95070
Phone 408-805-9198
Mailing address
12280 Saratoga SunnyvaleSuite 101
Saratoga, CA 95070
Phone 408-805-9198
Authorized official
Cherissa Chong
Owner
4088059198
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