Provider Demographics
NPI:1518129568
Name:KOO, EUNA CHUNG (DDS)
Entity Type:Individual
Prefix:DR
First Name:EUNA
Middle Name:CHUNG
Last Name:KOO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:UNA
Other - Middle Name:MONICA
Other - Last Name:CHUNG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:7729 MONTGOMERY RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45236-4297
Mailing Address - Country:US
Mailing Address - Phone:513-793-1241
Mailing Address - Fax:513-793-0221
Practice Address - Street 1:7729 MONTGOMERY RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45236-4297
Practice Address - Country:US
Practice Address - Phone:513-793-1241
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-01
Last Update Date:2018-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.023913122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist