Provider Demographics
NPI:1750722039
Name:JUNCA, DAVID E (DDS,PA)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:E
Last Name:JUNCA
Suffix:
Gender:M
Credentials:DDS,PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1744 LOOKOUT LANDING CIR
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-5943
Mailing Address - Country:US
Mailing Address - Phone:407-625-7976
Mailing Address - Fax:
Practice Address - Street 1:6125 S SEMORAN BLVD
Practice Address - Street 2:SUITE 101 - 102
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32822-1544
Practice Address - Country:US
Practice Address - Phone:407-888-3384
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-15
Last Update Date:2013-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN11827122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist