Provider Demographics
NPI:1376796433
Name:SUNWOO, JAMES S (MD, DDS)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:S
Last Name:SUNWOO
Suffix:
Gender:M
Credentials:MD, DDS
Other - Prefix:
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Mailing Address - Street 1:458 N DOHENY DR
Mailing Address - Street 2:#691848
Mailing Address - City:WEST HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90069-7563
Mailing Address - Country:US
Mailing Address - Phone:310-770-7244
Mailing Address - Fax:917-210-3767
Practice Address - Street 1:458 N DOHENY DR
Practice Address - Street 2:#691848
Practice Address - City:WEST HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90069-7563
Practice Address - Country:US
Practice Address - Phone:310-770-7244
Practice Address - Fax:917-210-3767
Is Sole Proprietor?:No
Enumeration Date:2008-11-02
Last Update Date:2015-07-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA103815204E00000X
NY253116204E00000X
NY054382122300000X
CA64108122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial Surgery