Cherissa Chong D.M.D

NPI 1891047973 - Dentist - 1223G0001X

NPI Details
NPI 1891047973
Gender Female
Enumeration Date 10/12/2012
Last Updated 10/12/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
2459 ARAMINGO AVE
PHILADELPHIA PA, 19125-3731, US
Phone (215) 427-2800
Fax
Business Location
430 W ERIE ST
SUITE 200
CHICAGO IL, 60654-6914, US
Phone (312) 274-4520
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Pennsylvania
License Number DS039113
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According to our database, Dr. Cherissa Chong D.M.D NPI is 1891047973, taxonomy code is 1223G0001X and license number is DS039113, license state is located at Pennsylvania. Cherissa Chong D.M.D physically located at 2459 Aramingo Ave, Philadelphia PA, 19125-3731. NPI Number Cherissa Chong D.M.D has the Individual type.

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1891047973 NPI number is provided on an as is basis without warranty of any kind. 1891047973 is maintained by the National Plan & Provider Enumeration System. The contents of Cherissa Chong D.M.D are for informational purposes only.