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Individual

DR. JUI-MIN SU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S., M.S.

Contact information

Practice address
4275 E. CONCOURS,, SUITE 105, ONTARIO, CA 91764-5901
(951) 736-0876
(951) 736-0876
Mailing address
6817 RASPBERRY CT, CORONA, CA 92880-7297
(713) 303-0645

Taxonomy

Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
20814
TX
1223P0700X
Prosthodontics
Primary
57138
CA

Other

Enumeration date
07/14/2006
Last updated
07/20/2010
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