Individual
SUZANNE KAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3140 SAWTELLE BLVD APT 206, LOS ANGELES, CA 90066-1441
(808) 600-1908
Mailing address
3140 SAWTELLE BLVD APT 206, LOS ANGELES, CA 90066-1441
(808) 600-1908
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
108479
CA
1223P0221X
Pediatric Dentistry
DT-3188-0
HI
Other
Enumeration date
08/05/2022
Last updated
11/11/2024
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