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Organization
MICHAEL SU DENTAL CORP
Active
Organization
MICHAEL SU DENTAL CORP
Active
Other names
Huntington Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL SU DMD (CEO)
(626) 308-7881
Entity
Organization
Contact information
Practice address
100 E HUNTINGTON DR, SUITE 206, ALHAMBRA, CA 91801-1022
(626) 308-7881
Mailing address
100 E HUNTINGTON DR, SUITE 206, ALHAMBRA, CA 91801-1022
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
54597
CA
Other
Enumeration date
07/15/2014
Last updated
07/15/2014
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