Individual
MICHAEL IAN SUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1057 12TH AVE, LONGVIEW, WA 98632-2509
(360) 414-1300
(360) 636-4420
Mailing address
1057 12TH AVE, LONGVIEW, WA 98632-2509
(360) 261-7848
(360) 232-8400
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE61560522
WA
Other
Enumeration date
02/22/2024
Last updated
07/24/2024
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