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1902579949
JAE CHUNG
SAN BERNARDINO, CA
NPI
1902579949
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA DDS105162)
Enumeration Date
2021-07-27
Last Update Date
2021-07-27
Business Address
JAE CHUNG
654 W 4TH ST # A
SAN BERNARDINO, CA 92410-3216
Phone number: 909-386-3650
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Mailing Address
JAE CHUNG
PO BOX 213
LOMA LINDA, CA 92354-0213
Phone number:
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