Provider Demographics
NPI:1003118100
Name:JUNG WOOK BYUN, DDS, INC
Entity Type:Organization
Organization Name:JUNG WOOK BYUN, DDS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JUNG-WOOK
Authorized Official - Middle Name:
Authorized Official - Last Name:BYUN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:949-878-6680
Mailing Address - Street 1:15731 DOWNEY AVE
Mailing Address - Street 2:
Mailing Address - City:PARAMOUNT
Mailing Address - State:CA
Mailing Address - Zip Code:90723-4407
Mailing Address - Country:US
Mailing Address - Phone:562-634-2828
Mailing Address - Fax:562-634-2880
Practice Address - Street 1:15731 DOWNEY AVE
Practice Address - Street 2:
Practice Address - City:PARAMOUNT
Practice Address - State:CA
Practice Address - Zip Code:90723-4407
Practice Address - Country:US
Practice Address - Phone:562-634-2828
Practice Address - Fax:562-634-2880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-22
Last Update Date:2016-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA487071223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty