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General NPI Number Information
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NPI Number | 1023879467
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Entity Type | Organization
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Legal Business Name | DIEN SUN, DDS, INC.
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Dates
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Enumeration Date | 01/23/2024
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Last Update Date | 01/23/2024
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Provider Practice Location Address
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Address Line | 50 ALESSANDRO PL STE 200
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City | PASADENA
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State | CA
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Zip | 91105-4002
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Country | US
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Telephone | 858-610-0893
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Fax |
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Provider Business Mailing Address
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Address Line | 2729 WESTSHIRE DR
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City | LOS ANGELES
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State | CA
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Zip | 90068-1929
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Country | US
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Telephone | 858-610-0893
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Fax |
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Authorized Official
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Title or Position | PEDIATRIC DENTIST/OWNER
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Name | DIEN SUN
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Credential | DDS
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Telephone | 858-610-0893
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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