Organization
BYUN AND PATEL, A DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUNG-WOOK BYUN DDS (PRESIDENT)
(949) 878-6680
Entity
Organization
Contact information
Practice address
15072 ROSECRANS AVE, LA MIRADA, CA 90638-4740
(714) 522-5152
(714) 522-5162
Mailing address
15072 ROSECRANS AVE, LA MIRADA, CA 90638-4740
(714) 522-5152
(714) 522-5162
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
48707
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104960574
NPI
CA
01
—
1801936968
NPI
CA
Enumeration date
12/29/2014
Last updated
12/29/2014
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