Individual
BO JUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
343 GELLERT BLVD STE C, DALY CITY, CA 94015-2620
(650) 992-7001
Mailing address
343 GELLERT BLVD STE C, DALY CITY, CA 94015-2620
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
43704
CA
Other
Enumeration date
09/05/2008
Last updated
09/05/2008
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