Dr. Min (Paul) M Chung, D.D.S.
Dentist, General Practice in Flushing, NY. Individual provider (NPI-1).
NPI number1710003413
StatusActive
Last updated in NPPESDec 13, 2007
Details
- NPI
- 1710003413
- Entity type
- Individual (NPI-1)
- Name
- Dr. Min (Paul) M Chung
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 22, 2007
- Last updated
- Dec 13, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 042812 | NY | Yes |
Other names
- Paul M Chung (Professional Name)
Practice location
4125 Kissena BlvdSuite 101
Flushing, NY 11355-3150
Phone 718-353-2312 · Fax 718-321-7120
Mailing address
41-25 Kissena Blvd.Suite 101
Flushing, NY 11355
Phone 718-353-2312 · Fax 718-321-7120
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