Individual ProviderBo JunDentistDental ProvidersPractice Address343 Gellert Blvd Ste C, Daly City, CA 94015-2620(650) 992-7001PECOS EnrollmentBased on the most recent information from CMS, provider Bo Jun does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1821246521Provider TypeIndividualFull NameJun, BoGenderMaleSole ProprietorYesEnumeration Date9/5/2008Last Updated9/5/2008Contact InformationPractice LocationPractice Address343 Gellert Blvd Ste C, Daly City, CA 94015-2620Phone(650) 992-7001FaxUnlisted FaxMailing LocationMailing Address343 Gellert Blvd Ste C, Daly City, CA 94015-2620PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1223G0001XPrimaryDescriptionDentistDental ProvidersLicense43704California