Individual
JISOO SUH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3838 BRIDGEPORT WAY W, UNIVERSITY PLACE, WA 98466-4416
(253) 212-3430
Mailing address
2211 68TH AVENUE CT W APT J201, UNIVERSITY PLACE, WA 98466-6158
(909) 680-9410
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DENT.DE.70006378
WA
Other
Enumeration date
07/24/2025
Last updated
07/24/2025
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