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1184723801
CHARLES SU
SACRAMENTO, CA
NPI
1184723801
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: CA 42096)
Enumeration Date
2006-09-21
Last Update Date
2007-07-08
Business Address
CHARLES SU DDS
7275 E SOUTHGATE DR 205
SACRAMENTO, CA 95823-2628
Phone number: 916-399-1318
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Mailing Address
CHARLES SU DDS
7275 E SOUTHGATE DR 205
SACRAMENTO, CA 95823-2628
Phone number: 916-399-1318
Copy
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