Individual
PAUL BYUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
879 STATE ROAD 436, CASSELBERRY, FL 32707-5360
(407) 767-7600
Mailing address
600 TECHNOLOGY PARK STE 101, LAKE MARY, FL 32746-7122
(407) 543-8509
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DN22141
FL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN22141
FL
Other
Enumeration date
06/29/2019
Last updated
06/29/2019
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