Provider Demographics
NPI:1659724102
Name:WILL EUNKU CHUNG II DDS MSD PLLC
Entity Type:Organization
Organization Name:WILL EUNKU CHUNG II DDS MSD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILL
Authorized Official - Middle Name:E
Authorized Official - Last Name:CHUNG
Authorized Official - Suffix:II
Authorized Official - Credentials:DDS MSD
Authorized Official - Phone:206-623-3122
Mailing Address - Street 1:509 OLIVE WAY STE 1416
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98101-1749
Mailing Address - Country:US
Mailing Address - Phone:206-623-3122
Mailing Address - Fax:
Practice Address - Street 1:509 OLIVE WAY STE 1416
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98101-1749
Practice Address - Country:US
Practice Address - Phone:206-623-3122
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-20
Last Update Date:2016-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA101691223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0700XDental ProvidersDentistProsthodonticsGroup - Single Specialty