Healthcare Provider Details

I. General information

NPI: 1316757024
Provider Name (Legal Business Name): RUOXING SUN DDS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/14/2025
Last Update Date: 01/14/2025
Certification Date: 01/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1830 CECIL AVE
DELANO CA
93215-1520
US

IV. Provider business mailing address

1830 CECIL AVE
DELANO CA
93215-1520
US

V. Phone/Fax

Practice location:
  • Phone: 661-213-9468
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: RUOXING SUN
Title or Position: OWNER
Credential:
Phone: 484-557-2477