Dyeus M Chung, D.D.S., M.S. Valid NPI

Individual provider · Periodontics · Boulder, CO

NPI

1174603963

Type

Individual (Type 1)

Primary specialty

Periodontics (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223P0300X

License number

13905 (MD)

Sex

Male

Sole proprietor

Yes

Enumerated

2006-10-16

Last updated

2015-09-18