Individual
MEGAN SU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
703 34TH AVE, SEATTLE, WA 98122-5131
(206) 251-7638
Mailing address
703 34TH AVE, SEATTLE, WA 98122-5131
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DE60949849
WA
Other
Enumeration date
04/24/2017
Last updated
10/21/2019
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