Individual
YVONNE SU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
297 BOSTON POST RD, ORANGE, CT 06477-3537
(203) 795-4748
Mailing address
297 BOSTON POST RD, ORANGE, CT 06477-3537
(203) 795-4748
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11363
CT
Other
Enumeration date
06/18/2012
Last updated
05/03/2024
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