Provider Demographics
NPI:1790279768
Name:SUN, ANGELA HUA (DMD)
Entity Type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:HUA
Last Name:SUN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2809 NIGHTHAWK CIR
Mailing Address - Street 2:
Mailing Address - City:NORRISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19403-1887
Mailing Address - Country:US
Mailing Address - Phone:484-620-1741
Mailing Address - Fax:
Practice Address - Street 1:120 IVY LN
Practice Address - Street 2:
Practice Address - City:KING OF PRUSSIA
Practice Address - State:PA
Practice Address - Zip Code:19406-2145
Practice Address - Country:US
Practice Address - Phone:610-768-0008
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-21
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS041751122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist