Healthcare Provider Details

I. General information

NPI: 1497952139
Provider Name (Legal Business Name): SUK HOON YUN,DDS,INC. BELL GARDENS DENTAL GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/27/2007
Last Update Date: 10/02/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6336 FLORENCE AVE
BELL GARDENS CA
90201-4732
US

IV. Provider business mailing address

6336 FLORENCE AVE
BELL GARDENS CA
90201-4732
US

V. Phone/Fax

Practice location:
  • Phone: 562-806-3737
  • Fax:
Mailing address:
  • Phone: 562-806-3737
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number
License Number State

VIII. Authorized Official

Name: SUK HOON YUN
Title or Position: PRESIDENT
Credential:
Phone: 562-806-3737