Provider Demographics
NPI:1356428080
Name:SUNG, NAK KYUNG (DDS)
Entity type:Individual
Prefix:DR
First Name:NAK
Middle Name:KYUNG
Last Name:SUNG
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16200 BEAR VALLEY RD
Mailing Address - Street 2:SUITE #105
Mailing Address - City:VICTORVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:92395-8400
Mailing Address - Country:US
Mailing Address - Phone:760-952-2102
Mailing Address - Fax:760-952-2953
Practice Address - Street 1:16200 BEAR VALLEY RD
Practice Address - Street 2:SUITE #105
Practice Address - City:VICTORVILLE
Practice Address - State:CA
Practice Address - Zip Code:92395-8400
Practice Address - Country:US
Practice Address - Phone:760-952-2102
Practice Address - Fax:760-952-2953
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA43497122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist