Chung, Daniel Jisung
Chung, Daniel Jisung is an sole proprietor health care provider with primary practice located at 275 Victoria St Suite 2E, Costa Mesa CA 92627-1906. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Chung, Daniel Jisung can be contacted via phone (949) 631-1420.Contact Information
Primary practice address
275 Victoria St Suite 2E
Costa Mesa CA 92627-1906
Phone: (949) 631-1420
Fax: (949) 548-8844
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | 53699 | California |
Profile Details
NPI number | 1366583015 |
---|---|
LBN Legal business name | Chung, Daniel Jisung |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 8th, 2007 |
Last updated | Jan 21st, 2009 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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