| Sun Dental | |
|
82935 Avenue 48 Ste 103 Indio CA 92201-6757 | |
| (909) 576-7175 | |
| Not Available |
| Full Name | Sun Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 82935 Avenue 48 Ste 103, Indio, California |
| Authorized Official Name and Position | Oh Jae Kwon (PRESIDENT) |
| Authorized Official Contact | 9095767175 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sun Dental 9675 Monte Vista Ave Ste G Montclair CA 91763-2213 Ph: (909) 576-7175 | Sun Dental 82935 Avenue 48 Ste 103 Indio CA 92201-6757 Ph: (909) 576-7175 |
| NPI Number | 1356029433 |
|---|---|
| Provider Enumeration Date | 07/07/2023 |
| Last Update Date | 09/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356029433 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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