Individual
DR. JIE SU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4500 LEGACY DR, SUITE 300, PLANO, TX 75024-2179
(972) 618-2958
Mailing address
5736 NORTHBROOK DR, PLANO, TX 75093-5953
(972) 992-8068
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
23596
TX
Other
Enumeration date
07/19/2007
Last updated
09/27/2013
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