Provider Demographics
NPI:1831467323
Name:YOON, CHRISTOPHER JONGSUK (DDS)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:JONGSUK
Last Name:YOON
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 1:8600 BEACH BLVD STE 105
Mailing Address - Street 2:
Mailing Address - City:BUENA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90620-5201
Mailing Address - Country:US
Mailing Address - Phone:714-886-2270
Mailing Address - Fax:
Practice Address - Street 1:8600 BEACH BLVD STE 105
Practice Address - Street 2:
Practice Address - City:BUENA PARK
Practice Address - State:CA
Practice Address - Zip Code:90620-5201
Practice Address - Country:US
Practice Address - Phone:714-886-2270
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-12
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADDS1078551223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice