Su, Weizhong
Su, Weizhong is an sole proprietor health care provider with primary practice located at 5567 N Azusa Ave , Azusa CA 91702-5544. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Su, Weizhong can be contacted via phone (626) 969-7717.Contact Information
Primary practice address
5567 N Azusa Ave
Azusa CA 91702-5544
Phone: (626) 969-7717
Fax: (626) 633-0800
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 56968 | California |
Profile Details
| NPI number | 1386801405 |
|---|---|
| LBN Legal business name | Su, Weizhong |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 16th, 2008 |
| Last updated | Feb 25th, 2010 - about 14 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 | 1386801405 | NPPES |
| California | Other | 56968 | LICENSE NUMBER |
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