Individual
PEITI SU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1721 LA PLAYA WAY, SACRAMENTO, CA 95864-1508
(916) 432-3431
Mailing address
4300 BERRENDO DR, SACRAMENTO, CA 95864-3120
(916) 432-3431
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
055065-1
NY
1223E0200X
Endodontics
Primary
62032
CA
Other
Enumeration date
07/10/2009
Last updated
03/03/2013
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