Individual
DR. STEPHANIE M SU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
16650 NE 79TH ST, #100, REDMOND, WA 98052-4442
(425) 558-4562
(425) 558-4572
Mailing address
16650 NE 79TH ST, #100, REDMOND, WA 98052-4442
(425) 558-4562
(425) 558-4572
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DE00009811
WA
Other
Enumeration date
10/26/2006
Last updated
07/08/2007
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