Su, Stephanie M
Su, Stephanie M is an individual health care provider with primary practice located at 16650 Ne 79Th St #100, Redmond WA 98052-4442. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Su, Stephanie M can be contacted via phone (425) 558-4562.Contact Information
Primary practice address
16650 Ne 79Th St #100
Redmond WA 98052-4442
Phone: (425) 558-4562
Fax: (425) 558-4572
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | DE00009811 | Washington |
Profile Details
| NPI number | 1134204191 |
|---|---|
| LBN Legal business name | Su, Stephanie M |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2006 |
| Last updated | Jul 8th, 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.
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