Organization
JIE SU, DMD, P.A.
Active
Other names
A Smile Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIE SU DMD (PRESIDENT)
(972) 618-2958
Entity
Organization
Contact information
Practice address
4500 LEGACY DR, SUITE 300, PLANO, TX 75024-2179
(972) 618-2958
Mailing address
4500 LEGACY DR, SUITE 300, PLANO, TX 75024-2179
(972) 618-2958
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
23596
TX
Other
Enumeration date
01/05/2012
Last updated
03/17/2017
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