Individual
JEREMY SUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
6525 BURDEN BLVD, PASCO, WA 99301-9822
(509) 728-9460
Mailing address
3086 170TH AVE NE, BELLEVUE, WA 98008-2046
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE61440678
WA
Other
Enumeration date
07/13/2023
Last updated
07/13/2023
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