Individual
AMY SUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
510 EAST STONER AVE, DENTAL SERVICES, SHREVEPORT, LA 71101-4295
(318) 424-6009
Mailing address
VAMC--OVERTON BROOKS DENTAL SERVICES, 510 EAST STONER AVE, SHREVEPORT, LA 71101-4295
(318) 424-6009
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
050700-1
NY
Other
Enumeration date
08/18/2006
Last updated
07/08/2007
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