Provider Demographics
NPI:1932754611
Name:JUN DENTISTRY LLC
Entity Type:Organization
Organization Name:JUN DENTISTRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:JIEUN
Authorized Official - Middle Name:
Authorized Official - Last Name:JUN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:470-219-5008
Mailing Address - Street 1:719 SCENIC HWY STE B
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30046-6379
Mailing Address - Country:US
Mailing Address - Phone:470-219-5008
Mailing Address - Fax:470-219-5038
Practice Address - Street 1:719 SCENIC HWY STE B
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30046-6379
Practice Address - Country:US
Practice Address - Phone:470-219-5008
Practice Address - Fax:470-219-5038
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-08
Last Update Date:2019-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental