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General NPI Number Information
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NPI Number | 1861318339
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Entity Type | Organization
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Legal Business Name | JUN YONG JEONG DDS INC
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Dates
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Enumeration Date | 06/29/2026
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Last Update Date | 06/29/2026
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Provider Practice Location Address
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Address Line | 777 CUESTA DR STE 140
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94040-3765
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Country | US
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Telephone | 628-235-3690
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Fax |
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Provider Business Mailing Address
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Address Line | 1565 POPPY WAY
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City | CUPERTINO
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State | CA
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Zip | 95014-5306
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Country | US
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Telephone | 628-235-3690
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Fax |
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Authorized Official
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Title or Position | OWNER/ PRESIDENT
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Name | DR. JUN YONG JEONG
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Credential | DDS
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Telephone | 628-235-3690
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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