| NPI | 1881979672 |
|---|---|
| Other Name | PHILIP HORYUN CHUNG |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 010653) |
| Additional Taxonomies | 122300000X Dentist (Licence: CT 010653) |
| 122300000X Dentist (Licence: NY 055859) | |
| Enumeration Date | 2011-10-12 |
| Last Update Date | 2013-01-14 |