Individual
PU YU SU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5723 NE BOTHELL WAY STE A, KENMORE, WA 98028-9404
(206) 525-2813
Mailing address
5723 NE BOTHELL WAY STE A, KENMORE, WA 98028-9404
(206) 525-2813
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
61673321
WA
122300000X
Dentist
D010409
AZ
Other
Enumeration date
08/06/2019
Last updated
05/07/2025
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