Organization
FANGBIN SUN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FANGBIN SUN (OWNER)
(810) 232-7070
Entity
Organization
Contact information
Practice address
1111 W HILL RD, SUITE A, FLINT, MI 48507-4724
(810) 232-7070
(810) 232-9830
Mailing address
1111 W HILL RD, SUITE A, FLINT, MI 48507-4724
(810) 232-7070
(810) 232-9830
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
29010-16636
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12-3238503
—
MI
Enumeration date
10/01/2008
Last updated
10/01/2008
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