Provider Demographics
NPI:1366568263
Name:HONG, JUNE DAN (DDS)
Entity type:Individual
Prefix:DR
First Name:JUNE
Middle Name:DAN
Last Name:HONG
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 1:18537 1ST AVE S STE A
Mailing Address - Street 2:
Mailing Address - City:NORMANDY PARK
Mailing Address - State:WA
Mailing Address - Zip Code:98148-1867
Mailing Address - Country:US
Mailing Address - Phone:206-242-5808
Mailing Address - Fax:206-242-1811
Practice Address - Street 1:18537 1ST AVE S STE A
Practice Address - Street 2:
Practice Address - City:NORMANDY PARK
Practice Address - State:WA
Practice Address - Zip Code:98148-1867
Practice Address - Country:US
Practice Address - Phone:206-242-5808
Practice Address - Fax:206-242-1811
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2019-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX201131223G0001X
WA606349311223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice