Individual
DR. IAN DOUGLAS SUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
705 RILEY HOSPITAL DR STE 4205, INDIANAPOLIS, IN 46202-5109
(317) 944-9604
Mailing address
705 RILEY HOSPITAL DR STE 4205, INDIANAPOLIS, IN 46202-5109
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/02/2024
Last updated
05/02/2024
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