Individual
DR. ETHAN SUH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
430 MEYER ST, SEALY, TX 77474-2744
(979) 399-8267
Mailing address
24151 BELLA DOLCE LN APT 609, KATY, TX 77494-7906
(214) 790-4691
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
35774
TX
1223G0001X
General Practice Dentistry
35774
TX
Other
Enumeration date
03/11/2020
Last updated
01/11/2021
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