Individual
EMILY M SU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
10 HIGH ST STE 333, BOSTON, MA 02110-1672
(617) 482-2500
Mailing address
10 HIGH ST STE 333, BOSTON, MA 02110-1672
(617) 482-2500
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1859395
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/10/2021
Last updated
07/26/2022
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