Organization
J. MICHAEL SU D.D.S., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MICHAEL SU DDS (PRESIDENT)
(281) 341-5116
Entity
Organization
Contact information
Practice address
6655 GREATWOOD PKWY, SUGAR LAND, TX 77479-6314
(281) 341-5116
(581) 341-5126
Mailing address
6655 GREATWOOD PKWY, SUGAR LAND, TX 77479-6314
(281) 341-5116
(581) 341-5126
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19092
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009882401
—
TX
05
—
090763601
—
TX
Enumeration date
05/15/2007
Last updated
07/29/2013
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