Individual
JANET SUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
100569
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
MD205899
OR
Other
Enumeration date
07/27/2016
Last updated
06/30/2023
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