Provider Demographics
NPI:1982807863
Name:CHINGBINGYONG, MARIANNE IN (MSC, DSC)
Entity Type:Individual
Prefix:DR
First Name:MARIANNE
Middle Name:IN
Last Name:CHINGBINGYONG
Suffix:
Gender:F
Credentials:MSC, DSC
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Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:3225 HEATHERBROOK DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75074-8901
Mailing Address - Country:US
Mailing Address - Phone:972-898-5841
Mailing Address - Fax:972-394-6489
Practice Address - Street 1:4112 N JOSEY LN
Practice Address - Street 2:SUITE 128
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75007-1509
Practice Address - Country:US
Practice Address - Phone:972-394-2140
Practice Address - Fax:972-394-6489
Is Sole Proprietor?:No
Enumeration Date:2007-06-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX203451223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry