Provider Demographics
NPI:1063689743
Name:COME DENTAL, LLC
Entity Type:Organization
Organization Name:COME DENTAL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DDS/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUNG
Authorized Official - Middle Name:JOON
Authorized Official - Last Name:YUN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:347-886-0969
Mailing Address - Street 1:200 ENGLE ST
Mailing Address - Street 2:SUITE #16
Mailing Address - City:ENGLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07631-2440
Mailing Address - Country:US
Mailing Address - Phone:201-569-5121
Mailing Address - Fax:201-569-5123
Practice Address - Street 1:200 ENGLE ST
Practice Address - Street 2:SUITE #16
Practice Address - City:ENGLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07631-2440
Practice Address - Country:US
Practice Address - Phone:201-569-5121
Practice Address - Fax:201-569-5123
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-13
Last Update Date:2008-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI022114001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty