Organization
LAN SU DMD PHD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAN SU DMD, PHD (OWNER DOCTOR)
(818) 865-1039
Entity
Organization
Contact information
Practice address
31332 VIA COLINAS, SUITE 109, WESTLAKE VILLAGE, CA 91362-3910
(818) 865-1039
(818) 865-8375
Mailing address
31332 VIA COLINAS, SUITE 109, WESTLAKE VILLAGE, CA 91362-3910
(818) 865-1039
(818) 865-8375
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
46977
CA
Other
Enumeration date
05/11/2006
Last updated
08/22/2020
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