Provider Demographics
NPI:1801936968
Name:BYUN, JUNG-WOOK (DDS)
Entity type:Individual
Prefix:DR
First Name:JUNG-WOOK
Middle Name:
Last Name:BYUN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1053 N STATE COLLEGE BLVD
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92806-2702
Mailing Address - Country:US
Mailing Address - Phone:714-687-0800
Mailing Address - Fax:714-687-0880
Practice Address - Street 1:15731 DOWNEY AVE
Practice Address - Street 2:
Practice Address - City:PARAMOUNT
Practice Address - State:CA
Practice Address - Zip Code:90723-4407
Practice Address - Country:US
Practice Address - Phone:562-634-2828
Practice Address - Fax:562-634-2880
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2018-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA487071223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG92894OtherDENTI-CAL