Provider Demographics
NPI:1528283645
Name:CHUNG, CHRIS CHANG YOONG (DDS)
Entity type:Individual
Prefix:DR
First Name:CHRIS
Middle Name:CHANG YOONG
Last Name:CHUNG
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:CHANG
Other - Middle Name:YOONG
Other - Last Name:CHUNG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:2975 CUMBERLAND RD
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92833
Mailing Address - Country:US
Mailing Address - Phone:562-690-7973
Mailing Address - Fax:
Practice Address - Street 1:11635 E SOUTH ST
Practice Address - Street 2:
Practice Address - City:ARTESIA
Practice Address - State:CA
Practice Address - Zip Code:90702
Practice Address - Country:US
Practice Address - Phone:562-924-4401
Practice Address - Fax:562-924-1072
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2015-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA45236122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist