Dr. Brad Evan Chun, D.D.S.
Dentist, General Practice in Windsor, CA. Individual provider (NPI-1).
NPI number1801050554
StatusActive
Last updated in NPPESJul 11, 2008
Details
- NPI
- 1801050554
- Entity type
- Individual (NPI-1)
- Name
- Dr. Brad Evan Chun
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 11, 2008
- Last updated
- Jul 11, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 54724 | CA | Yes |
Practice location
911 Medical Center PlzSuite # 13
Windsor, CA 95492-7815
Phone 707-838-6697
Mailing address
911 Medical Center PlzSuite # 13
Windsor, CA 95492-7815
Phone 707-838-6697
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