Provider Demographics
NPI:1023879467
Name:DIEN SUN, DDS, INC.
Entity type:Organization
Organization Name:DIEN SUN, DDS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PEDIATRIC DENTIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DIEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SUN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:858-610-0893
Mailing Address - Street 1:2729 WESTSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90068-1929
Mailing Address - Country:US
Mailing Address - Phone:858-610-0893
Mailing Address - Fax:
Practice Address - Street 1:50 ALESSANDRO PL STE 200
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91105-4002
Practice Address - Country:US
Practice Address - Phone:858-610-0893
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-23
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty