| David Sun Dds Inc | |
|
10 E Huntington Dr Ste D Arcadia CA 91006-3249 | |
| (626) 821-0169 | |
| (626) 538-4764 |
| Full Name | David Sun Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 10 E Huntington Dr Ste D, Arcadia, California |
| Authorized Official Name and Position | Da Sun (OWNER) |
| Authorized Official Contact | 6262031720 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David Sun Dds Inc 10 E Huntington Dr Ste D Arcadia CA 91006-3249 Ph: (626) 821-0169 | David Sun Dds Inc 10 E Huntington Dr Ste D Arcadia CA 91006-3249 Ph: (626) 821-0169 |
| NPI Number | 1588221279 |
|---|---|
| Provider Enumeration Date | 05/29/2019 |
| Last Update Date | 05/30/2019 |
| Medicare PECOS PAC ID | 5294069266 |
|---|---|
| Medicare Enrollment ID | O20190625001885 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588221279 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | Da Sun |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1093999377 PECOS PAC ID: 6103150172 Enrollment ID: I20190625001997 |
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