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Individual

DR. ORIANA SUH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.M.D.

Contact information

Practice address
500 N 26 ST, LAFAYETTE, IN 47904-2831
(765) 448-1393
Mailing address
500 N 26TH ST, LAFAYETTE, IN 47904-2831

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12011733A
IN
1223G0001X
General Practice Dentistry
22DI02440100
NJ

Other

Enumeration date
09/21/2010
Last updated
10/15/2011
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