Chung, Dyeus M

Chung, Dyeus M is an sole proprietor health care provider with primary practice located at 1840 Folsom St Ste 302 , Boulder CO 80302-5712. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Chung, Dyeus M can be contacted via phone (303) 938-8300.

Contact Information

Primary practice address
1840 Folsom St Ste 302 Boulder CO 80302-5712
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 13905 Maryland
Dental Providers / Periodontics 1223P0300X DE00010389 Washington
Dental Providers / Periodontics 1223P0300X 2901018462 Michigan

Profile Details

NPI number 1174603963
LBN Legal business name Chung, Dyeus M
Credentials D.D.S., M.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 16th, 2006
Last updated Sep 18th, 2015 - about 9 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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