Weizhong Su Dds Inc | |
5567 N Azusa Ave Azusa CA 91702-5544 | |
(626) 969-7717 | |
(626) 633-0800 |
Full Name | Weizhong Su Dds Inc |
---|---|
Speciality | Dentist - General Practice |
Location | 5567 N Azusa Ave, Azusa, California |
Authorized Official Name and Position | Weizhong Su (PRESIDENT) |
Authorized Official Contact | 6269697717 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Weizhong Su Dds Inc 5567 N Azusa Ave Azusa CA 91702-5544 Ph: (626) 969-7717 | Weizhong Su Dds Inc 5567 N Azusa Ave Azusa CA 91702-5544 Ph: (626) 969-7717 |
NPI Number | 1477873073 |
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Provider Enumeration Date | 06/04/2010 |
Last Update Date | 06/04/2010 |
Identifier | Type | State | Issuer |
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1477873073 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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