Chung, Ki Yoon
Chung, Ki Yoon is an individual health care provider with primary practice located at 6404 Roosevelt Blvd , Philadelphia PA 19149-2943. She recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as her primary health care specialty. Chung, Ki Yoon can be contacted via phone (215) 214-5994.Contact Information
Primary practice address
6404 Roosevelt Blvd
Philadelphia PA 19149-2943
Phone: (215) 214-5994
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | DS040680 | Pennsylvania |
Profile Details
| NPI number | 1740760818 |
|---|---|
| LBN Legal business name | Chung, Ki Yoon |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 17th, 2018 |
| Last updated | Aug 17th, 2018 - about 7 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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