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1366583015
DANIEL JISUNG CHUNG
COSTA MESA, CA
NPI
1366583015
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 53699)
Enumeration Date
2007-02-08
Last Update Date
2009-01-21
Business Address
-- DANIEL JISUNG CHUNG DDS
275 VICTORIA ST SUITE 2E
COSTA MESA, CA 92627-1906
Phone number: 949-631-1420
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Mailing Address
-- DANIEL JISUNG CHUNG DDS
275 VICTORIA ST SUITE 2E
COSTA MESA, CA 92627-1906
Phone number: 949-631-1420
Copy
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