Individual
LINDY SU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
100 E NEWTON ST, BOSTON, MA 02118-2308
(617) 638-4700
Mailing address
65 INDIAN RIDGE RD, NEWTON, MA 02459-3533
(857) 636-8095
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DL11961
MA
Other
Enumeration date
07/08/2013
Last updated
07/08/2013
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