Chung, Sang Hoon
Chung, Sang Hoon is an sole proprietor health care provider with primary practice located at 1591 Griffin Road , Twentynine Palms CA 92278-0000. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Chung, Sang Hoon can be contacted via phone (760) 830-7054.Contact Information
Primary practice address
1591 Griffin Road
Twentynine Palms CA 92278-0000
Phone: (760) 830-7054
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DE60775907 | Washington |
Profile Details
| NPI number | 1780195933 |
|---|---|
| LBN Legal business name | Chung, Sang Hoon |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 16th, 2017 |
| Last updated | Oct 16th, 2017 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780195933 | NPPES |
| Washington | Other | DE60775907 | DENTIST LICENSE |
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