# ORIANA SUH, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164923629
- **Authorized official:** ORIANA SUH DMD (DENTIST)
- **Authorized official phone:** (347) 834-3743

## Contact information

- **Practice address:** 500 N 26TH ST, LAFAYETTE, IN 47904-2831
- **Practice address phone:** (765) 448-0393
- **Mailing address:** 500 N 26TH ST, LAFAYETTE, IN 47904-2831
- **Mailing address phone:** (765) 448-0393

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 12011733A | IN | Yes |

## Other

- **Enumeration date:** 02/21/2018
- **Last updated:** 02/21/2018