Provider Demographics
NPI:1376611228
Name:YUN, JULIANA I (DDS)
Entity Type:Individual
Prefix:DR
First Name:JULIANA
Middle Name:I
Last Name:YUN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 N FRANKLIN TPKE
Mailing Address - Street 2:
Mailing Address - City:RAMSEY
Mailing Address - State:NJ
Mailing Address - Zip Code:07446-1609
Mailing Address - Country:US
Mailing Address - Phone:201-825-7677
Mailing Address - Fax:201-825-9303
Practice Address - Street 1:116 N FRANKLIN TPKE
Practice Address - Street 2:
Practice Address - City:RAMSEY
Practice Address - State:NJ
Practice Address - Zip Code:07446-1609
Practice Address - Country:US
Practice Address - Phone:201-825-7677
Practice Address - Fax:201-825-9303
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-30
Last Update Date:2017-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI02474600122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist