Provider Demographics
NPI:1265896849
Name:YUN, ESTHER (DMD)
Entity type:Individual
Prefix:
First Name:ESTHER
Middle Name:
Last Name:YUN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 N 10TH ST APT 332
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11211-2822
Mailing Address - Country:US
Mailing Address - Phone:919-794-1185
Mailing Address - Fax:
Practice Address - Street 1:250 N 10TH ST APT 332
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11211-2822
Practice Address - Country:US
Practice Address - Phone:919-794-1185
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-08
Last Update Date:2016-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI026340001223P0221X
NY058607-11223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry