Provider Demographics
NPI:1619034535
Name:DR JOHN S YUN, D.M.D.
Entity Type:Organization
Organization Name:DR JOHN S YUN, D.M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:S
Authorized Official - Last Name:YUN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-861-7277
Mailing Address - Street 1:750 N DIAMOND BAR BLVD
Mailing Address - Street 2:SUITE 112
Mailing Address - City:DIAMOND BAR
Mailing Address - State:CA
Mailing Address - Zip Code:91765-1023
Mailing Address - Country:US
Mailing Address - Phone:909-861-7277
Mailing Address - Fax:
Practice Address - Street 1:750 N DIAMOND BAR BLVD
Practice Address - Street 2:SUITE 112
Practice Address - City:DIAMOND BAR
Practice Address - State:CA
Practice Address - Zip Code:91765-1023
Practice Address - Country:US
Practice Address - Phone:909-861-7277
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA379621223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0300XDental ProvidersDentistPeriodonticsGroup - Single Specialty