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1134204191
STEPHANIE M SU
REDMOND, WA
NPI
1134204191
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: WA DE00009811)
Enumeration Date
2006-10-26
Last Update Date
2007-07-08
Business Address
Dr. STEPHANIE M SU DDS
16650 NE 79TH ST #100
REDMOND, WA 98052-4442
Phone number: 425-558-4562
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Mailing Address
Dr. STEPHANIE M SU DDS
16650 NE 79TH ST #100
REDMOND, WA 98052-4442
Phone number: 425-558-4562
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