Provider Demographics
NPI:1023088549
Name:LIN-KUNG, I-JUN (DDS)
Entity type:Individual
Prefix:DR
First Name:I-JUN
Middle Name:
Last Name:LIN-KUNG
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 1:9313 RENSHAW DR
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20817-2227
Mailing Address - Country:US
Mailing Address - Phone:301-469-7877
Mailing Address - Fax:301-986-8879
Practice Address - Street 1:5454 WISCONSIN AVE
Practice Address - Street 2:SUITE 635
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-6901
Practice Address - Country:US
Practice Address - Phone:301-986-1988
Practice Address - Fax:301-986-8879
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD116741223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice