| Provider / Organization | NPI | Date Certified |
|---|---|---|
| BRYCE C. CHUN | 1437438884 | 2024-08-11 |
Bryce C. Chun is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1437438884. Registration indicates Bryce C. Chun is a provider of access to dental specialists services with a specialization in Dental Providers, Dentist (Dental Providers, Dentist) (Dentist: Periodontics, ) (Dental, ) (Dentist Periodontics, Dental Providers) (Dentist, )
| Entity Type | Individual |
| Provider Name | Dr. Bryce C. Chun DDS |
| Practice Office Address | 620 CALIFORNIA BLVD STE L SAN LUIS OBISPO, CA US |
| Practice Office Telephone | 8055459400 |
| Practice Office Fax | 8055458336 |
| Mailing Address | 620 CALIFORNIA BLVD STE L SAN LUIS OBISPO, CA 934012545 US |
| Business Telephone | 8055459400 |
| Business Fax | 8055458336 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 8260 Old Redwood Hwy Ste 101 | Windsor, CA 954929338 | 7078386697 |
| Code | Practice | License No State |
|---|---|---|
| 1223P0300X PRIMARY | Access to Dental Specialists Dental Providers Dentist Dental Providers Dentist Dentist: Periodontics Dental Dentist Periodontics Dental Providers Dentist | 60541
CA |