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
Phone: (303) 938-8300
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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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