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Organization
J. MICHAEL SU D.D.S., P.A.
Active
Organization
J. MICHAEL SU D.D.S., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MICHAEL SU DDS (PRESIDENT)
(281) 341-5116
Entity
Organization
Contact information
Practice address
6655 GREATWOOD PKWY, SUGAR LAND, TX 77479-6314
(281) 341-5116
(581) 341-5126
Mailing address
6655 GREATWOOD PKWY, SUGAR LAND, TX 77479-6314
(281) 341-5116
(581) 341-5126
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19092
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009882401
—
TX
05
—
090763601
—
TX
Enumeration date
05/15/2007
Last updated
07/29/2013
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