Individual
MR. DENNIS SU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
572 PLEASANT ST, MALDEN, MA 02148
(781) 397-8876
(781) 324-7166
Mailing address
303 MARIN PRIVADO, ONTARIO, CA 91764
(909) 896-1880
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
21440
MA
1223G0001X
General Practice Dentistry
Primary
55688
CA
Other
Enumeration date
10/26/2006
Last updated
10/20/2011
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