Provider Demographics
NPI:1548321896
Name:SUN, MUY EAR (DDS)
Entity type:Individual
Prefix:DR
First Name:MUY
Middle Name:EAR
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 1:907 N 130TH ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98133-7568
Mailing Address - Country:US
Mailing Address - Phone:206-362-6116
Mailing Address - Fax:206-440-8411
Practice Address - Street 1:907 N 130TH ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98133-7568
Practice Address - Country:US
Practice Address - Phone:206-362-6116
Practice Address - Fax:206-440-8411
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA91101223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice