Individual
GRACE SUN AE HUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2551 W BALL RD, ANAHEIM, CA 92804-4001
(646) 221-1217
Mailing address
770 THE CITY DR S STE 8450, ORANGE, CA 92868-4970
(646) 221-1217
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
057915
NY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
103187
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
22DI02577200
NJ
Other
Enumeration date
11/21/2014
Last updated
01/13/2022
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