Organization
BYUN AND PATEL, A DENTAL CORPORATION
Active
Other names
iSmile Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JUNG WOOK BYUN DDS (PRESIDENT)
(949) 878-6680
Entity
Organization
Contact information
Practice address
1105 S EUCLID ST, SUITE E, FULLERTON, CA 92832-2850
(714) 738-0304
Mailing address
1105 S EUCLID ST, SUITE E, FULLERTON, CA 92832-2850
(714) 738-0304
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
48707
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104960574
DENTI CAL
CA
01
—
1801936968
DENTI CAL
CA
Enumeration date
03/27/2015
Last updated
03/27/2015
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