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1235380999
ILLNAHM CHUNG
KISSIMMEE, FL
NPI
1235380999
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: FL 15949)
Enumeration Date
2008-09-30
Last Update Date
2011-02-28
Business Address
-- ILLNAHM CHUNG D.M.D.
2102 E OSCEOLA PKWY STE 21022104
KISSIMMEE, FL 34743-8630
Phone number: 407-201-3998
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Mailing Address
-- ILLNAHM CHUNG D.M.D.
8224 VIA VERONA
ORLANDO, FL 32836-7700
Phone number: 321-279-4633
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