Provider Demographics
NPI:1659498111
Name:CHUNG, EUNKU (DDS, MSD)
Entity Type:Individual
Prefix:DR
First Name:EUNKU
Middle Name:
Last Name:CHUNG
Suffix:
Gender:M
Credentials:DDS, MSD
Other - Prefix:DR
Other - First Name:WILL
Other - Middle Name:EUNKU
Other - Last Name:CHUNG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS, MSD
Mailing Address - Street 1:509 OLIVE WAY
Mailing Address - Street 2:SUITE 1416
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98101-1720
Mailing Address - Country:US
Mailing Address - Phone:206-623-3122
Mailing Address - Fax:206-623-5266
Practice Address - Street 1:509 OLIVE WAY
Practice Address - Street 2:SUITE 1416
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98101-1720
Practice Address - Country:US
Practice Address - Phone:206-623-3122
Practice Address - Fax:206-623-5266
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2011-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF-231231223P0700X
WADE000101691223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics