| Bao Lan Sun DDS Iinc | |
|
23450 Lyons Ave Newhall CA 91321-5778 | |
| (661) 799-8800 | |
| (661) 799-2805 |
| Full Name | Bao Lan Sun DDS Iinc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 23450 Lyons Ave, Newhall, California |
| Authorized Official Name and Position | Bao Lan Sun (PRESIDENT) |
| Authorized Official Contact | 6617998800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bao Lan Sun DDS Iinc 23450 Lyons Ave Newhall CA 91321-5778 Ph: (661) 799-8800 | Bao Lan Sun DDS Iinc 23450 Lyons Ave Newhall CA 91321-5778 Ph: (661) 799-8800 |
| NPI Number | 1609912971 |
|---|---|
| Provider Enumeration Date | 01/30/2007 |
| Last Update Date | 01/12/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609912971 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (NU) | Primary |
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