Su, Robin Marguerite

Su, Robin Marguerite is an individual health care provider with primary practice located at 440 N Mountain Ave Ste 116, Upland CA 91786-5183. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Su, Robin Marguerite can be contacted via phone (909) 985-3430.

Contact Information

Primary practice address
440 N Mountain Ave Ste 116 Upland CA 91786-5183
Fax: (909) 985-1936
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 36115 California

Profile Details

NPI number 1649276155
LBN Legal business name Su, Robin Marguerite
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Jul 8th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649276155 NPPES
California Other 1510728 UNITED CONCORDIA PROVIDER

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