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Organization
SU ALDABA DENTAL CORPORATION
Active
Organization
SU ALDABA DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRITTANY SU DDS (OWNER DENTIST)
(818) 578-3144
Entity
Organization
Contact information
Practice address
19417 7/8 VICTORY BLVD, RESEDA, CA 91335-6611
(818) 578-3144
(818) 578-3197
Mailing address
19417 7/8 VICTORY BLVD, RESEDA, CA 91335-6611
(818) 578-3144
(818) 578-3197
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
64911
DENTIST
CA
Enumeration date
04/12/2021
Last updated
04/12/2021
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