Provider Demographics
NPI:1396847505
Name:JUNG, STEVEN THOMAS (DMD MS)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:THOMAS
Last Name:JUNG
Suffix:
Gender:M
Credentials:DMD MS
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Mailing Address - Street 1:7315 LAS PALMAS WAY
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:CA
Mailing Address - Zip Code:94568
Mailing Address - Country:US
Mailing Address - Phone:925-803-0915
Mailing Address - Fax:925-833-1650
Practice Address - Street 1:8265 VILLAGE PARKWAY
Practice Address - Street 2:SUITE D
Practice Address - City:DUBLIN
Practice Address - State:CA
Practice Address - Zip Code:94568
Practice Address - Country:US
Practice Address - Phone:925-828-6550
Practice Address - Fax:925-828-6551
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA30206122300000X, 1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered122300000XDental ProvidersDentist
Not Answered1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics