Individual
E. DEVI SUNAHARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DT 1707
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
668059
UCCI IDENTIFIER
HI
01
—
A91080
HMSA IDENTIFIER
HI
Enumeration date
02/07/2007
Last updated
07/08/2007
Update your record
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