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Individual
YOUNG JUN
Active
Individual
YOUNG JUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS/MD
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
A109352
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55513
STATE LICENSE
CA
01
—
A109352
CALIFORNIA
CA
Enumeration date
08/15/2008
Last updated
06/15/2015
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