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Y JUN DENTAL CORP NPI 1215409479


NPI Information

NPI: 1215409479
Provider Name: Y JUN DENTAL CORP

Doing Business As: SURF CITY ORAL & MAXILLOFACIAL SURGERY

Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
17822 BEACH BLVD STE 342
HUNTINGTON BEACH, CA
ZIP 92647
Phone: (714) 847-6044
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Y JUN DENTAL CORP is an oral and maxillofacial surgery dentist in Huntington Beach, CA. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. Y JUN DENTAL CORP NPI is 1215409479. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Surf City Oral & Maxillofacial Surgery.

The provider's business location address is:

17822 BEACH BLVD STE 342
HUNTINGTON BEACH, CA
ZIP 92647-518
Phone: (714) 847-6044

The provider's authorized official is Young Jun .
The authorized official title is President and has the following contact phone number (714) 847-6044.

The enumeration date for this NPI number is 12/27/2018 and was last updated on 1/5/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11568527703OTHERCALIFORNIADR. GARY CARLSEN
21932496809OTHERCALIFORNIADR. MARC TOSO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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