| NPI | 1104697531 |
|---|---|
| Former Legal Business Name | SUN SURGICAL DENTAL CORPORATION |
| Entity Type | Organization |
| Authorized Contact | HO HYUN BRIAN SUN Chief Executive Officer 949-336-2717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery | |
| Enumeration Date | 2024-01-15 |
| Last Update Date | 2024-05-28 |