Provider Demographics
NPI:1285982918
Name:DANIEL H CHONG DDS PS
Entity type:Organization
Organization Name:DANIEL H CHONG DDS PS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:H
Authorized Official - Last Name:CHONG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:253-946-6361
Mailing Address - Street 1:33301 9TH AVE SO. SUITE 125
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003
Mailing Address - Country:US
Mailing Address - Phone:253-946-6361
Mailing Address - Fax:253-838-1750
Practice Address - Street 1:33301 9TH AVE SO. SUITE 125
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003
Practice Address - Country:US
Practice Address - Phone:253-946-6361
Practice Address - Fax:253-838-1750
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-28
Last Update Date:2024-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment