Provider Demographics
NPI:1326161779
Name:TUN, WIN (DDS)
Entity Type:Individual
Prefix:DR
First Name:WIN
Middle Name:
Last Name:TUN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:233 W BADILLO ST STE D
Mailing Address - Street 2:
Mailing Address - City:COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91723-1966
Mailing Address - Country:US
Mailing Address - Phone:909-227-7707
Mailing Address - Fax:
Practice Address - Street 1:233 W BADILLO ST STE D
Practice Address - Street 2:
Practice Address - City:COVINA
Practice Address - State:CA
Practice Address - Zip Code:91723-1966
Practice Address - Country:US
Practice Address - Phone:909-227-7707
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2015-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAD511501223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice