Chung, Isaac Du Quoc
Chung, Isaac Du Quoc is an individual health care provider with primary practice located at 10463 Park Meadows Dr Ste 206 , Lone Tree CO 80124-5318. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Chung, Isaac Du Quoc can be contacted via phone (303) 662-9000.Contact Information
Primary practice address
10463 Park Meadows Dr Ste 206
Lone Tree CO 80124-5318
Phone: (303) 662-9000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | DEN.00203039 | Colorado |
Profile Details
NPI number | 1720508518 |
---|---|
LBN Legal business name | Chung, Isaac Du Quoc |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 22nd, 2017 |
Last updated | Jan 21st, 2022 - about 3 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1720508518 | NPPES |
Colorado | Other | DEN.00203039 | CO DENTAL LICENSE |
Colorado | MEDICAID | 1720508518 | CO DENTAL LICENSE |
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