| Stephanie Su Dds Pllc | |
|
16650 Ne 79th St Ste 100 Redmond WA 98052-4442 | |
| (425) 558-4562 | |
| Not Available |
| Full Name | Stephanie Su Dds Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 16650 Ne 79th St Ste 100, Redmond, Washington |
| Authorized Official Name and Position | Erin Hatfield (PRACTICE MANAGER) |
| Authorized Official Contact | 4255584562 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Su Dds Pllc 16650 Ne 79th St Ste 100 Redmond WA 98052-4442 Ph: (425) 558-4562 | Stephanie Su Dds Pllc 16650 Ne 79th St Ste 100 Redmond WA 98052-4442 Ph: (425) 558-4562 |
| NPI Number | 1427715184 |
|---|---|
| Provider Enumeration Date | 11/17/2021 |
| Last Update Date | 11/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427715184 | NPI | - | NPPES |
| 1134204191 | Other | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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