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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. OTIS T CHONG, DMD

Active Sole Proprietor

DR. OTIS T CHONG, DMD is a Endodontics healthcare provider located in LAGUNA NIGUEL, California. NPI 1861663148 is currently active in the NPPES registry. Verify at CMS.

Endodontics · LAGUNA NIGUEL, CA

Registration Details

NPI Number
1861663148
Provider Type
Individual
Gender
Male
NPI Issued
Mar 14, 2008 (18.424416081222 yrs)
Last Updated
Jan 25, 2017
Licenses
215521 (MA)
56385 (CA)
Sole Proprietor
Yes

Practice Information

Address
30190 TOWN CENTER DRIVE
SUITE B
LAGUNA NIGUEL, CA, 92677
Browse CA providers · Browse ZIP 92677
Phone
9493632540
Fax
9493633352
Primary Specialty
Endodontics
1223E0200X
Additional Specialty
Endodontics

Other Endodontics Providers in LAGUNA NIGUEL, CA

Name Credential NPI
ANGELA HSIAO D.D.S., M.S. 1962672014
DR. LILLEY NINA GHARAVI D.M.D. 1326483348
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.