Provider Demographics
NPI:1952688095
Name:HYUN SOO YUN INC
Entity Type:Organization
Organization Name:HYUN SOO YUN INC
Other - Org Name:SOL DENTAL GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:HYUN
Authorized Official - Middle Name:SOO
Authorized Official - Last Name:YUN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:626-814-0259
Mailing Address - Street 1:14135 FRANCISQUITO AVE
Mailing Address - Street 2:107
Mailing Address - City:BALDWIN PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91706
Mailing Address - Country:US
Mailing Address - Phone:626-814-0259
Mailing Address - Fax:626-814-2129
Practice Address - Street 1:14135 FRANCISQUITO AVENUE
Practice Address - Street 2:107
Practice Address - City:BALDWIN PARK
Practice Address - State:CA
Practice Address - Zip Code:91706
Practice Address - Country:US
Practice Address - Phone:626-814-0259
Practice Address - Fax:626-814-2129
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-03
Last Update Date:2011-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA505511223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty