Individual
DR. SU-EN CHU THLICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
12701 MARBLESTONE DR STE 260, WOODBRIDGE, VA 22192-8326
(703) 670-2114
(703) 423-0130
Mailing address
12701 MARBLESTONE DR STE 260, WOODBRIDGE, VA 22192-8326
(703) 670-2114
(703) 423-0130
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401008779
VA
Other
Enumeration date
12/27/2005
Last updated
10/23/2023
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