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Organization
SUN ON FIRE
Active
Organization
SUN ON FIRE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RACHEL L SUN DMD (PRESIDENT)
(646) 596-5134
Entity
Organization
Contact information
Practice address
14715C ROOSEVELT AVE, FLUSHING, NY 11354-4757
(646) 596-5134
Mailing address
147 ROOSEVELT AVE, UNIT 15C, FLUSHING, NY 11354-4757
(646) 596-5134
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
053023-1
NY
Other
Enumeration date
12/27/2007
Last updated
11/23/2011
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