Organization
STEPHANIE SU DDS PLLC
Active
Other names
Redmond Kids Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN HATFIELD (PRACTICE MANAGER)
(425) 558-4562
Entity
Organization
Contact information
Practice address
16650 NE 79TH ST STE 100, REDMOND, WA 98052-4442
(425) 558-4562
Mailing address
16650 NE 79TH ST STE 100, REDMOND, WA 98052-4442
(425) 558-4562
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134204191
NPPES
—
Enumeration date
11/17/2021
Last updated
11/18/2021
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