Provider Demographics
NPI:1922360734
Name:YOON, CHRISTOPHER Y (DMD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:Y
Last Name:YOON
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13910 N FRANK LLOYD WRIGHT BLVD STE 3
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-2021
Mailing Address - Country:US
Mailing Address - Phone:480-551-5141
Mailing Address - Fax:
Practice Address - Street 1:13910 N FRANK LLOYD WRIGHT BLVD STE 3
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-2021
Practice Address - Country:US
Practice Address - Phone:480-551-5141
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-08
Last Update Date:2012-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD0084421223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice