Provider Demographics
NPI:1144430976
Name:SUN, TINA FENG-PEI (DDS)
Entity type:Individual
Prefix:DR
First Name:TINA
Middle Name:FENG-PEI
Last Name:SUN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1758 SIERRA LEONE AVE STE C
Mailing Address - Street 2:
Mailing Address - City:ROWLAND HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91748-5837
Mailing Address - Country:US
Mailing Address - Phone:626-935-8600
Mailing Address - Fax:626-935-8604
Practice Address - Street 1:1758 SIERRA LEONE AVE STE C
Practice Address - Street 2:
Practice Address - City:ROWLAND HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:91748-5837
Practice Address - Country:US
Practice Address - Phone:626-935-8600
Practice Address - Fax:626-935-8604
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2020-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA420061223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice