Individual
DR. CHUN-XIAO SUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD,MS,MSD,PHD
Contact information
Practice address
8501 CANDELARIA RD NE STE D3, ALBUQUERQUE, NM 87112-1032
(505) 293-2334
(505) 293-2747
Mailing address
12258 MOUNTAIN HAZE RD NE, ALBUQUERQUE, NM 87122-1276
(909) 792-0564
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
24695
TX
1223P0300X
Periodontics
59183
CA
1223P0300X
Periodontics
Primary
DD4212
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023332350
NPI
—
Enumeration date
03/15/2010
Last updated
03/17/2018
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