Individual
JEFFREY V SUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7916 PEBBLE BEACH DR STE 101, CITRUS HEIGHTS, CA 95610-7790
(916) 962-0577
(916) 962-0584
Mailing address
7916 PEBBLE BEACH DR STE 101, CITRUS HEIGHTS, CA 95610-7790
(916) 962-0577
(916) 962-0584
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
47805
CA
Other
Enumeration date
01/29/2013
Last updated
01/29/2013
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