Provider Demographics
NPI:1932393634
Name:DR. DANIEL HYUN DENTAL INC
Entity Type:Organization
Organization Name:DR. DANIEL HYUN DENTAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:HYUN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:805-588-3669
Mailing Address - Street 1:214 S H ST
Mailing Address - Street 2:
Mailing Address - City:LOMPOC
Mailing Address - State:CA
Mailing Address - Zip Code:93436-7206
Mailing Address - Country:US
Mailing Address - Phone:805-736-7595
Mailing Address - Fax:805-685-3509
Practice Address - Street 1:214 S H ST
Practice Address - Street 2:
Practice Address - City:LOMPOC
Practice Address - State:CA
Practice Address - Zip Code:93436-7206
Practice Address - Country:US
Practice Address - Phone:805-736-7595
Practice Address - Fax:805-685-3509
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-05
Last Update Date:2021-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA416201223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty