Individual
DR. JIABAO SUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, MDS
Contact information
Practice address
5964 S STATE ROUTE 48, MAINEVILLE, OH 45039-8845
(513) 239-8104
Mailing address
3718 NANTUCKET DR, LOVELAND, OH 45140-3612
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
220543813
PA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
30026186
OH
Other
Enumeration date
01/17/2024
Last updated
02/10/2024
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