HUAN SU

TACOMA, WA
NPI1194058669
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223P0300X Dentist, Periodontics
(Licence: WA  DE60101496)
Additional Taxonomies122300000X Dentist
(Licence: WA  DE60101496)
Enumeration Date2009-09-15
Last Update Date2009-09-15
Business Address
-- HUAN SU D.D.S.
2302 S UNION AVE BUILDING C SUITE 22
TACOMA, WA 98405-1300
Phone number: 253-752-6336
Mailing Address
-- HUAN SU D.D.S.
1400 LAKE WASHINGTON BLVD N APT A302
RENTON, WA 98056-2564
Phone number: 425-988-4755