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Dr. Stephanie M Su, DDS
Pediatric Dentist in Redmond, Washington
NPI 1134204191

Stephanie M Su is a Pediatric Dentist based in Redmond, WA and is specialized in Pediatric Dentistry. Stephanie M Su practices in Redmond, WA and has the professional credentials of DDS. The NPI Number for Stephanie M Su is 1134204191 and holds a License No. DE00009811 (Washington).

The current practice location address for Stephanie M Su is 16650 Ne 79Th St, Redmond, WA and can be reached out via phone at 425-558-4562 and via fax at 425-558-4572.

Location: 16650 Ne 79Th St, Redmond, WA, 98052-4442
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134204191
Provider Name
Stephanie M Su
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
16650 Ne 79Th St, Redmond, WA, 98052-4442
Phone Number
425-558-4562
Fax Number
425-558-4572
Provider Enumeration Date
10/26/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
16650 Ne 79Th St
City
Redmond
State
Washington
Zip
98052-4442
Phone Number
425-558-4562
Fax Number
425-558-4572
person
Provider Business Mailing Address Details
Address
16650 Ne 79Th St
City
Redmond
State
Washington
Zip
98052-4442
Phone Number
425-558-4562
Fax Number
425-558-4572
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
DE00009811 (Washington)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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