Sichang Sung

NPI #1780039065 in Fort Cavazos, Texas

Provider Information

NPI Number: 1780039065
Entity Type: Individual
Name: Sichang Sung
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: Apr 25, 2016
Last Updated: Aug 19, 2024

Practice Location

Address: US DENTAL HEALTH ACTIVITY
Address 2: 36000 SHOEMAKER LANE, SUITE 1051
City: Fort Cavazos
State: Texas
ZIP Code: 76544
Phone: (254) 287-2705

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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