Su, Li-An
Su, Li-An is an individual health care provider with primary practice located at 161 Ash St Suite C, Reading MA 01867-3115. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Su, Li-An can be contacted via phone (781) 439-6267.Contact Information
Primary practice address
161 Ash St Suite C
Reading MA 01867-3115
Phone: (781) 439-6267
Fax: (781) 439-6269
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 19847 | Massachusetts |
Profile Details
| NPI number | 1366424251 |
|---|---|
| LBN Legal business name | Su, Li-An |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 16th, 2005 |
| Last updated | Jul 9th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366424251 | NPPES |
| Massachusetts | MEDICAID | 0200310 |
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