Individual
DR. SIMON SHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6246 IRVINE BLVD, IRVINE, CA 92620-2103
(949) 264-3314
Mailing address
54 TWIN GABLES, IRVINE, CA 92620-3507
(412) 736-4645
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DS036205
PA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
60240
CA
Other
Enumeration date
12/13/2005
Last updated
02/28/2015
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