Individual
MISS EUNJIN M SUH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5416 BASSWOOD BLVD, FORT WORTH, TX 76137-4400
(817) 656-1215
(877) 230-8349
Mailing address
500 N TARRANT PKWY APT 122, KELLER, TX 76248-5677
(512) 788-3705
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D30956
TX
Other
Enumeration date
09/09/2015
Last updated
09/09/2015
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