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Organization
SUN SURGICAL DENTAL GROUP
Active
Organization
SUN SURGICAL DENTAL GROUP
Active
Other names
Sun Surgical Dental Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HO HYUN BRIAN SUN DMD, MS (CHIEF EXECUTIVE OFFICER)
(408) 413-2043
Entity
Organization
Contact information
Practice address
225 N JACKSON AVE, SAN JOSE, CA 95116-1603
(408) 259-5000
Mailing address
PO BOX 2062, DUBLIN, CA 94568-0206
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
—
NULL
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
—
NULL
Other
Enumeration date
01/15/2024
Last updated
08/11/2025
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