Provider Demographics
NPI:1285811828
Name:JUN, JAMES C (DMD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:C
Last Name:JUN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1885 PEACEFUL HILLS RD
Mailing Address - Street 2:
Mailing Address - City:WALNUT
Mailing Address - State:CA
Mailing Address - Zip Code:91789-4026
Mailing Address - Country:US
Mailing Address - Phone:909-670-7234
Mailing Address - Fax:
Practice Address - Street 1:1760 W 6TH ST
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92882-2790
Practice Address - Country:US
Practice Address - Phone:951-735-7300
Practice Address - Fax:951-549-1233
Is Sole Proprietor?:No
Enumeration Date:2008-01-25
Last Update Date:2013-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA217631223P0300X
CA591581223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics