Individual
HUAN SU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2302 S UNION AVE, BUILDING C SUITE 22, TACOMA, WA 98405-1300
(253) 752-6336
Mailing address
1400 LAKE WASHINGTON BLVD N, APT A302, RENTON, WA 98056-2564
(425) 988-4755
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DE60101496
WA
1223P0300X
Periodontics
Primary
DE60101496
WA
Other
Enumeration date
09/15/2009
Last updated
09/15/2009
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