# SUZIN UM DDS, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lake Forest Oral Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386203016
- **Authorized official:** DR. SUZIN UM DDS (SURGEON)
- **Authorized official phone:** (949) 203-3177

## Contact information

- **Practice address:** 26700 TOWNE CENTRE DR STE 280, FOOTHILL RANCH, CA 92610-2844
- **Practice address phone:** (949) 203-3177
- **Mailing address:** 26700 TOWNE CENTRE DR STE 280, FOOTHILL RANCH, CA 92610-2844
- **Mailing address phone:** (949) 203-3177

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 06/06/2019
- **Last updated:** 06/06/2019