Individual
ALLAN CARL SUNDIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1385 LASKIN RD, VIRGINIA BEACH, VA 23451-6079
(757) 425-1547
(757) 425-6603
Mailing address
401 49TH ST, VIRGINIA BEACH, VA 23451-2416
(757) 428-1044
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401004026
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4964
DORAL DENTAL
—
05
—
8998188
—
NC
Enumeration date
12/09/2005
Last updated
07/08/2007
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