Provider Demographics
NPI:1437485059
Name:CUN, KAREN PHUNG (DDS)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:PHUNG
Last Name:CUN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6140 CAMINO VERDE DR
Mailing Address - Street 2:SUITE J
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95119-1401
Mailing Address - Country:US
Mailing Address - Phone:408-227-5058
Mailing Address - Fax:408-227-5355
Practice Address - Street 1:6140 CAMINO VERDE DR
Practice Address - Street 2:SUITE J
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95119-1401
Practice Address - Country:US
Practice Address - Phone:408-227-5058
Practice Address - Fax:408-227-5355
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-02
Last Update Date:2010-08-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA515681223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice