Individual
NICHOLE SUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
1240 S WESTLAKE BLVD STE 234, WESTLAKE VILLAGE, CA 91361-1974
(818) 597-9777
Mailing address
1240 S WESTLAKE BLVD STE 234, WESTLAKE VILLAGE, CA 91361-1974
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DDS54751
CA
Other
Enumeration date
03/01/2024
Last updated
03/01/2024
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