Organization
JUI-MIN SU, D.D.S., M.S., PROFESSIONAL CORPORATION
Active
Other names
Purity and Wellness Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUI-MIN SU D.D.S., M.S. (PRESIDENT)
(951) 736-0876
Entity
Organization
Contact information
Practice address
4275 CONCOURS STE 105, ONTARIO, CA 91764-5901
(951) 736-0876
Mailing address
6817 RASPBERRY CT, CORONA, CA 92880-7297
(951) 736-0876
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
57138
CA
Other
Enumeration date
07/27/2010
Last updated
07/27/2010
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