Individual
ZONGYANG SUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS, MSD, PHD
Contact information
Practice address
305 W 12TH AVE, 4088C POSTLE HALL, COLUMBUS, OH 43210-1267
(614) 247-7944
(614) 688-3077
Mailing address
305 W 12TH AVE, 4088C POSTLE HALL, COLUMBUS, OH 43210-1267
(614) 247-7944
(614) 688-3077
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
71.000210
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71.000210
OHIO STATE DENTAL BOARD
OH
Enumeration date
01/02/2008
Last updated
12/02/2008
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