Individual
SUZANNE WEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1938 DONNER AVE, SAN FRANCISCO, CA 94124
(415) 265-9595
Mailing address
1938 DONNER AVE, SAN FRANCISCO, CA 94124-2517
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
102473
CA
Other
Enumeration date
07/15/2015
Last updated
05/28/2018
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