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Contact Information

CHRISTINA K CHUNG, DDS
8201 GOLF COURSE RD NW STE C3
ALBUQUERQUE, NM87120-5805
 Phone: 505-892-9010
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
 

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for CHRISTINA K CHUNG · (Female)

NPI # 1386885002
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 03/09/2009
Last updated 01/30/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 58114
  • NM License # DD3689
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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