Chung, Kwang Hyun
Chung, Kwang Hyun is an individual health care provider with primary practice located at 2703 Mahoning Ave Ste 204, Youngstown OH 44509-2337. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Chung, Kwang Hyun can be contacted via phone (330) 793-5511.Contact Information
Primary practice address
2703 Mahoning Ave Ste 204
Youngstown OH 44509-2337
Phone: (330) 793-5511
Fax: (330) 793-8740
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 30015087 | Ohio |
Profile Details
| NPI number | 1750346896 |
|---|---|
| LBN Legal business name | Chung, Kwang Hyun |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 20th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1750346896 | NPPES |
| Ohio | MEDICAID | 0329817 |
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