| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 06/04/2010 |
| Last Update Date | 06/04/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477873073 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
James D. Ahn, Dds, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 315 E Gladstone St, Azusa, CA 91702 Phone: 626-969-6728 | |
Vigliarolo Chen Canlas Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 N Citrus Ave Ste A, Azusa, CA 91702 Phone: 626-804-7715 Fax: 626-507-6315 | |