| Kevin Su Dental Corporation | |
|
8561 Irvine Center Dr Irvine CA 92618-4298 | |
| (949) 966-2781 | |
| (949) 996-2310 |
| Full Name | Kevin Su Dental Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8561 Irvine Center Dr, Irvine, California |
| Authorized Official Name and Position | Kevin Jing-yuan Su (OWNER) |
| Authorized Official Contact | 9499662781 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Su Dental Corporation Po Box 920050 Dallas TX 75392-0050 Ph: (714) 845-8890 | Kevin Su Dental Corporation 8561 Irvine Center Dr Irvine CA 92618-4298 Ph: (949) 966-2781 |
| NPI Number | 1568139319 |
|---|---|
| Provider Enumeration Date | 08/27/2021 |
| Last Update Date | 08/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568139319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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