Chong, Otis T

Chong, Otis T is an sole proprietor health care provider with primary practice located at 30190 Town Center Drive Suite B, Laguna Niguel CA 92677. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Endodontics. Dental Providers / Endodontics is his primary health care specialty. Chong, Otis T can be contacted via phone (949) 363-2540.

Contact Information

Primary practice address
30190 Town Center Drive Suite B Laguna Niguel CA 92677
Phone: (949) 363-2540
Fax: (949) 363-3352
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 215521 Massachusetts
Dental Providers / Endodontics 1223E0200X 56385 California

Profile Details

NPI number 1861663148
LBN Legal business name Chong, Otis T
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2008
Last updated Jan 25th, 2017 - about 9 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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