Individual
HYUNG PHIL JUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
9801 S PENNSYLVANIA AVE, OKLAHOMA CITY, OK 73159-6925
(405) 692-1222
(405) 703-0930
Mailing address
9801 S PENNSYLVANIA AVE, OKLAHOMA CITY, OK 73159-6925
(405) 692-1222
(405) 703-0930
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6107
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200249110A
—
OK
Enumeration date
06/18/2009
Last updated
01/22/2013
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