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So Chung
NPI 1598043549 · on the registry since 2011 · sole proprietor
Practice
- Address
- 112 Industrial Ave
Azle, TX 76020 - Phone
- (817) 270-3700
- Organisation at this address
- Shiny Studio Pllc
Forever Teeth P.L.L.C.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-10-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas