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Individual
DR. DI SUN
Active
Individual
DR. DI SUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS PHD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
11508
MD
1223P0106X
Oral and Maxillofacial Pathology Dentistry
11508
MD
1223P0106X
Oral and Maxillofacial Pathology Dentistry
5326
DC
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
11508
MD
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
5326
DC
Other
Enumeration date
09/25/2006
Last updated
04/03/2023
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