Organization
Y JUN DENTAL CORP
Active
Other names
Surf City Oral & Maxillofacial Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YOUNG JUN DDS, MD (PRESIDENT)
(714) 847-6044
Entity
Organization
Contact information
Practice address
17822 BEACH BLVD STE 342, HUNTINGTON BEACH, CA 92647-7518
(714) 847-6044
Mailing address
17822 BEACH BLVD STE 342, HUNTINGTON BEACH, CA 92647-7518
(714) 847-6044
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1568527703
DR. GARY CARLSEN
CA
01
—
1932496809
DR. MARC TOSO
CA
Enumeration date
12/27/2018
Last updated
01/05/2019
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