1. Home
  2. Directory
  3. California
  4. La Mirada
  5. Dentist
  6. NPI Profile

M JUNG AND MARY PATUWO DENTAL CORPORATION
NPI 1942966759
Dentist - General Practice in La Mirada, CA

Active since November 16, 2021
14796 BEACH BLVD, LA MIRADA, CA 90638(714) 266-0333 Get Directions Write a Review

NPPES record last updated: November 16, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About M Jung And Mary Patuwo Dental Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

M JUNG AND MARY PATUWO DENTAL CORPORATION (NPI 1942966759), doing business as Smile Up Hygiene And Dental Studio, is a healthcare organization registered as a general practice in La Mirada, California and active in the NPI registry since November 2021. The organization lists Dong Min Jung, Vice President, as its authorized official.

NPPES Registry Identity

NPI1942966759
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameM JUNG AND MARY PATUWO DENTAL CORPORATION
Location Address14796 BEACH BLVDLa Mirada, CA 90638-4217
Mailing Address14796 Beach BlvdLa Mirada, CA 90638-4217 · (714) 266-0333 · Fax (714) 266-0335
Phone(714) 266-0333
Organization SubpartNo
Authorized OfficialDong Min JungVice President · (714) 266-0333
Enumeration DateNovember 16, 2021
NPPES CertifiedNovember 16, 2021
✔ NPI 1942966759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
14796 BEACH BLVD, La Mirada, CA 90638
Open in Google Maps ↗

Other Names 1

Doing Business AsSmile Up Hygiene And Dental Studio

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARY H. PATUWO DDS, INC.
Dentist
14796 BEACH BLVD
LA MIRADA, CA 90638
Los Angeles County (714) 562-5402
DR. MARY H. PATUWO D.D.S.
Dentist
14796 BEACH BLVD
LA MIRADA, CA 90638
Los Angeles County (714) 562-0402
DONG MIN JUNG RDH
Dental Hygienist
14796 BEACH BLVD
LA MIRADA, CA 90638
Los Angeles County (714) 266-0333

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is M Jung And Mary Patuwo Dental Corporation's NPI number?

The NPI number for M Jung And Mary Patuwo Dental Corporation is 1942966759. It was assigned to this organization in the NPPES registry on November 16, 2021. The provider is doing business as Smile Up Hygiene and Dental Studio.

Where is M Jung And Mary Patuwo Dental Corporation located?

M Jung And Mary Patuwo Dental Corporation is located at 14796 Beach Blvd, La Mirada, CA 90638. The listed phone number is (714) 266-0333.

What is M Jung And Mary Patuwo Dental Corporation's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for M Jung And Mary Patuwo Dental Corporation was last updated on November 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.