Provider Demographics
NPI:1093382335
Name:STERLING ENDODONTICS
Entity Type:Organization
Organization Name:STERLING ENDODONTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JUHEON
Authorized Official - Middle Name:
Authorized Official - Last Name:SEUNG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:916-677-6865
Mailing Address - Street 1:808 LANDMARK DR STE 221
Mailing Address - Street 2:
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21061-4985
Mailing Address - Country:US
Mailing Address - Phone:916-677-6865
Mailing Address - Fax:
Practice Address - Street 1:808 LANDMARK DR STE 221
Practice Address - Street 2:
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061-4985
Practice Address - Country:US
Practice Address - Phone:916-677-6865
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-07
Last Update Date:2021-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty