Individual
PHOEBE Y SUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
203 CHAMPION WAY STE 6, GEORGETOWN, KY 40324-8861
(502) 868-5999
Mailing address
203 CHAMPION WAY STE 6, GEORGETOWN, KY 40324-8861
(732) 763-1601
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10074
KY
Other
Enumeration date
02/12/2017
Last updated
02/21/2020
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