| David C Suh D D S Inc | |
|
3655 Lomita Blvd Ste 217 Torrance CA 90505-3958 | |
| (310) 326-8572 | |
| (310) 326-1991 |
| Full Name | David C Suh D D S Inc |
|---|---|
| Speciality | Dentist |
| Location | 3655 Lomita Blvd Ste 217, Torrance, California |
| Authorized Official Name and Position | David C Suh (PRESIDENT) |
| Authorized Official Contact | 3103269572 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David C Suh D D S Inc 3655 Lomita Blvd Ste 217 Torrance CA 90505-3958 Ph: (310) 326-8572 | David C Suh D D S Inc 3655 Lomita Blvd Ste 217 Torrance CA 90505-3958 Ph: (310) 326-8572 |
| NPI Number | 1992048318 |
|---|---|
| Provider Enumeration Date | 04/03/2013 |
| Last Update Date | 09/30/2021 |
| Medicare PECOS PAC ID | 9739327289 |
|---|---|
| Medicare Enrollment ID | O20130523000218 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992048318 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 51197 (California) | Primary |
| 261QS0112X | Clinic/center - Oral And Maxillofacial Surgery | (* (Not Available)) | Secondary |
| Provider Name | David S Suh |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1669699302 PECOS PAC ID: 0648418194 Enrollment ID: I20130523000240 |
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