Individual
DR. JEANNETTE E SUH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
30 AUDREY LN, SUITE A, OXON HILL, MD 20745-1301
(301) 567-5437
(301) 567-5456
Mailing address
16 ARCADE UNIT 198747, NASHVILLE, TN 37219-1994
(615) 750-0343
(615) 986-1705
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
14582
MD
1223G0001X
General Practice Dentistry
0401412954
VA
1223G0001X
General Practice Dentistry
Primary
14582
MD
1223G0001X
General Practice Dentistry
DEN1001064
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
043275300
—
DC
05
—
1023325958
—
MD
05
—
1023325958
—
VA
Enumeration date
09/14/2010
Last updated
06/12/2014
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