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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720508518 NPPES
Colorado Other DEN.00203039 CO DENTAL LICENSE
Colorado MEDICAID 1720508518 CO DENTAL LICENSE

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