Provider Demographics
NPI:1750549820
Name:CHUNG, PING-LIN BEN (DDS, DMSC)
Entity type:Individual
Prefix:DR
First Name:PING-LIN
Middle Name:BEN
Last Name:CHUNG
Suffix:
Gender:M
Credentials:DDS, DMSC
Other - Prefix:
Other - First Name:BEN
Other - Middle Name:P
Other - Last Name:CHUNG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS, DMSC
Mailing Address - Street 1:4200 CHINO HILLS PKWY, STE 860
Mailing Address - Street 2:
Mailing Address - City:CHINO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91709
Mailing Address - Country:US
Mailing Address - Phone:909-393-5688
Mailing Address - Fax:909-393-5288
Practice Address - Street 1:4200 CHINO HILLS PKWY, STE 860
Practice Address - Street 2:
Practice Address - City:CHINO HILLS
Practice Address - State:CA
Practice Address - Zip Code:91709
Practice Address - Country:US
Practice Address - Phone:909-393-5688
Practice Address - Fax:909-393-5288
Is Sole Proprietor?:No
Enumeration Date:2008-05-27
Last Update Date:2015-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA549431223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics