Darryl C Chong Dds Dental Corp

NPI Registration Record

Provider / Organization	NPI	Date Certified
DARRYL C CHONG DDS DENTAL CORP	1447870662	2020-08-03

The organization Darryl C Chong Dds Dental Corp is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1447870662. Registration indicates Darryl C Chong Dds Dental Corp is a provider of services with a specialization in Ambulatory Health Care Facilities, Clinic/Center (Clinic/Center: Dental, ) (Clinic/Center Dental, Ambulatory Health Care Facilities) (Clinic/Center, )

Entity Type	Organization

Provider Organization	DARRYL C CHONG DDS DENTAL CORP
Practice Office Address	13861 BEACH BLVD STE 4 WESTMINSTER, CA US
Practice Office Telephone	7148974471
Mailing Address	3083 W TERANIMAR DR ANAHEIM, CA 928043826 US
Business Telephone	7144088206
Authorized Official	MARIE M HOANG, SECRETARY 7143105356

HPT Codes

Code	Practice	License No State
261QD0000X PRIMARY	Ambulatory Health Care Facilities Clinic/Center Clinic/Center: Dental Clinic/Center Dental Ambulatory Health Care Facilities Clinic/Center

OPI Codes

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