Individual
KUO TONG SUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2494 MISSION ST, SAN FRANCISCO, CA 94110-2415
(415) 821-1200
Mailing address
555 W BENJAMIN HOLT DR, BUILDING B, STOCKTON, CA 95207-3839
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
36012
CA
Other
Enumeration date
08/28/2006
Last updated
07/08/2007
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