| Sun Jiaqi Dds, Inc. | |
|
13217 Jamboree Rd Ste 281 Tustin CA 92782-9158 | |
| (949) 431-6767 | |
| Not Available |
| Full Name | Sun Jiaqi Dds, Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 13217 Jamboree Rd Ste 281, Tustin, California |
| Authorized Official Name and Position | Isaac Sun (CEO) |
| Authorized Official Contact | 9494316767 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sun Jiaqi Dds, Inc. 13217 Jamboree Rd Ste 281 Tustin CA 92782-9158 Ph: (949) 431-6767 | Sun Jiaqi Dds, Inc. 13217 Jamboree Rd Ste 281 Tustin CA 92782-9158 Ph: (949) 431-6767 |
| NPI Number | 1083209175 |
|---|---|
| Provider Enumeration Date | 03/01/2021 |
| Last Update Date | 03/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083209175 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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