Individual
SAM YEOSUN YUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
188 LONGWOOD AVE, BOSTON, MA 02115-5819
(661) 619-8496
Mailing address
188 LONGWOOD AVE, BOSTON, MA 02115-5819
(661) 619-8496
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
DN1859165
MA
1223G0001X
General Practice Dentistry
DDS104365
CA
1223G0001X
General Practice Dentistry
Primary
DN1859165
MA
Other
Enumeration date
10/25/2020
Last updated
01/25/2022
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