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1003918723
LONG SU
NEW YORK, NY
NPI
1003918723
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: NY 046375)
Additional Taxonomies
122300000X Dentist
(Licence: TX D20421)
Enumeration Date
2006-09-02
Last Update Date
2013-03-15
Business Address
Dr. LONG SU DDS
254 CANAL ST SUITE 4008
NEW YORK, NY 10013-3501
Phone number: 212-966-3649
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Mailing Address
Dr. LONG SU DDS
254 CANAL STREET, ROOM 4008
NEW YORK, NY 10013-7841
Phone number: 212-489-4712
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