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Contact Information

CAROLYN M CHONG, D.D.S., M.S.
2850 TELEGRAPH AVE
SUITE 202
BERKELEY, CA94705-1192
 Phone: 510-841-6357
 Fax: 510-841-8566
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for CAROLYN M CHONG · (Female)

NPI # 1255438172
Status Active
Credentials D.D.S., M.S.
Entity Individual
Enumeration date 09/20/2006
Last updated 08/04/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 47602
  • HI License # DT-2001
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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