Individual
DR. SU FONG DAVID WAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1990 POST OAK BLVD STE H, HOUSTON, TX 77056-3844
(832) 659-0977
(832) 659-0071
Mailing address
1990 POST OAK BLVD STE H, HOUSTON, TX 77056-3844
(832) 659-0977
(832) 659-0071
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
22550
TX
1223G0001X
General Practice Dentistry
22550
TX
Other
Enumeration date
11/21/2006
Last updated
07/26/2013
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