Provider Demographics
NPI:1285167049
Name:CHUN, CHRISTOPHER SUN (DDS)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:SUN
Last Name:CHUN
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 1:22129 SETTLER CT
Mailing Address - Street 2:
Mailing Address - City:WALNUT
Mailing Address - State:CA
Mailing Address - Zip Code:91789-1480
Mailing Address - Country:US
Mailing Address - Phone:909-270-0776
Mailing Address - Fax:
Practice Address - Street 1:28212 KELLY JOHNSON PKWY STE 290
Practice Address - Street 2:
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-5093
Practice Address - Country:US
Practice Address - Phone:661-254-1924
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-09
Last Update Date:2017-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA652551223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics