Individual
DR. LI-AN SU
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
161 ASH ST, SUITE C, READING, MA 01867-3115
(781) 439-6267
(781) 439-6269
Mailing address
227 D ST, #6, BOSTON, MA 02127-1961
(617) 388-8510
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19847
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0200310
—
MA
Enumeration date
11/16/2005
Last updated
07/09/2007
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