Provider Demographics
NPI:1184771248
Name:HUYNH, YUN JOO (DDS)
Entity type:Individual
Prefix:DR
First Name:YUN JOO
Middle Name:
Last Name:HUYNH
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 1:10360 MEDLOCK BRIDGE RD STE D
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30097-5927
Mailing Address - Country:US
Mailing Address - Phone:770-623-1198
Mailing Address - Fax:
Practice Address - Street 1:10360 MEDLOCK BRIDGE RD STE D
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30097-5927
Practice Address - Country:US
Practice Address - Phone:770-623-1198
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2016-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN015111122300000X
NY50092122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist