Organization
SUN JIAQI DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ISAAC SUN DDS (CEO)
(949) 431-6767
Entity
Organization
Contact information
Practice address
13217 JAMBOREE RD STE 281, TUSTIN, CA 92782-9158
(949) 431-6767
Mailing address
13217 JAMBOREE RD STE 281, TUSTIN, CA 92782-9158
(949) 431-6767
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/01/2021
Last updated
03/01/2021
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