FANG-YU SU

PHILADELPHIA, PA
NPI1619562543
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223P0700X Dentist, Prosthodontics
(Licence: PA  RFD000042)
Additional Taxonomies1223P0700X Dentist, Prosthodontics
(Licence: IN  12013481A)
1223P0700X Dentist, Prosthodontics
(Licence: IL  019.032873)
Enumeration Date2021-03-03
Last Update Date2021-03-30
Business Address
FANG-YU SU DMD
3223 N BROAD ST
PHILADELPHIA, PA 19140-5007
Phone number: 215-531-3603
Mailing Address
FANG-YU SU DMD
3223 N BROAD ST
PHILADELPHIA, PA 19140-5007
Phone number: 215-926-2350