Individual
SHAO-CHING SU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., PH.D
Contact information
Practice address
263 FARMINGTON AVENUE, FARMINGTON, CT 06030
(860) 679-2000
Mailing address
263 FARMINGTON AVE # MC-1725, UCONN HEALTH CENTER, SCHOOL OF DENTAL MEDICINE (L-7063), FARMINGTON, CT 06030-1725
(860) 679-2550
(860) 679-1920
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/04/2014
Last updated
08/04/2014
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