Individual
MINGFANG SU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1330 BEACON ST STE 247, BROOKLINE, MA 02446-3200
(617) 738-8033
Mailing address
1330 BEACON ST STE 247, BROOKLINE, MA 02446-3200
(617) 738-8033
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
18010
MA
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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