Provider Demographics
NPI:1205860665
Name:CHUNG, FRANCIS HYUNJIN (DDS)
Entity Type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:HYUNJIN
Last Name:CHUNG
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:FRANK
Other - Middle Name:HYUNJIN
Other - Last Name:CHUNG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:2460 MISSION ST
Mailing Address - Street 2:SUITE 109
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110-2430
Mailing Address - Country:US
Mailing Address - Phone:415-401-7380
Mailing Address - Fax:415-401-7563
Practice Address - Street 1:2460 MISSION ST
Practice Address - Street 2:SUITE 109
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-2430
Practice Address - Country:US
Practice Address - Phone:415-401-7380
Practice Address - Fax:415-401-7563
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA455611223S0112X, 1223X0008X, 1223P0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Not Answered1223X0008XDental ProvidersDentistOral and Maxillofacial Radiology
Not Answered1223P0106XDental ProvidersDentistOral and Maxillofacial Pathology