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Organization
NING MIAO SU, DDS, MS, INC
Active
Organization
NING MIAO SU, DDS, MS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NING MIAO SU DDS, MS (CEO)
(949) 653-5868
Entity
Organization
Contact information
Practice address
14200 CULVER DR, SUITE 205, IRVINE, CA 92604-0312
(949) 653-5868
(949) 635-5860
Mailing address
PO BOX 5716, IRVINE, CA 92616-5716
(949) 653-5868
(949) 653-5860
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
54758
CA
Other
Enumeration date
09/23/2008
Last updated
08/27/2012
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