Individual
KEVIN SUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
305 S BROADWAY, STE 200-326, DENVER, CO 80209
(817) 380-5574
Mailing address
3204 N MAIN ST STE 120, FORT WORTH, TX 76106-5900
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
32406
TX
1223G0001X
General Practice Dentistry
Primary
205864
CO
Other
Enumeration date
10/04/2016
Last updated
03/10/2025
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