Individual
GREGORY YIN SUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
501 DEEP VALLEY DR STE 201, ROLLING HILLS ESTATES, CA 90274-7608
(310) 377-5544
Mailing address
501 DEEP VALLEY DR STE 201, ROLLING HILLS ESTATES, CA 90274-7608
(310) 377-5544
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
DY28820
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DY28820
CA
Other
Enumeration date
12/15/2006
Last updated
08/30/2007
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