Organization
JUN DENTISTRY LLC
Active
Other names
Ivory Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JIEUN JUN (DENTIST)
(470) 219-5008
Entity
Organization
Contact information
Practice address
719 SCENIC HWY STE B, LAWRENCEVILLE, GA 30046-6379
(470) 219-5008
(470) 219-5038
Mailing address
719 SCENIC HWY STE B, LAWRENCEVILLE, GA 30046-6379
(470) 219-5008
(470) 219-5038
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/08/2019
Last updated
08/08/2019
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