| Sean Bp Sunyoto Dds Inc | |
|
7490 Orangethorpe Ave Buena Park CA 90621-3315 | |
| (714) 670-2221 | |
| Not Available |
| Full Name | Sean Bp Sunyoto Dds Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 7490 Orangethorpe Ave, Buena Park, California |
| Authorized Official Name and Position | Sean Sunyoto (PRESIDENT) |
| Authorized Official Contact | 7146702221 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sean Bp Sunyoto Dds Inc 7490 Orangethorpe Ave Buena Park CA 90621-3315 Ph: () - | Sean Bp Sunyoto Dds Inc 7490 Orangethorpe Ave Buena Park CA 90621-3315 Ph: (714) 670-2221 |
| NPI Number | 1457996035 |
|---|---|
| Provider Enumeration Date | 11/07/2019 |
| Last Update Date | 11/07/2019 |
| Medicare PECOS PAC ID | 9931533924 |
|---|---|
| Medicare Enrollment ID | O20191227002224 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457996035 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| Provider Name | Johnny K Kim |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1528155819 PECOS PAC ID: 5597026443 Enrollment ID: I20180313001931 |
| Provider Name | Sean Sunyoto |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1124514112 PECOS PAC ID: 0749515674 Enrollment ID: I20190715000865 |
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