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Stephanie Su Dds Pllc
Pediatric Dentist in Redmond, Washington
NPI 1427715184

Stephanie Su Dds Pllc is a Pediatric Dentist based in Redmond, WA and is specialized in Pediatric Dentistry. Stephanie Su Dds Pllc practices in Redmond, WA. The NPI Number for Stephanie Su Dds Pllc is 1427715184 and holds a License No. (Washington).

The current practice location address for Stephanie Su Dds Pllc is 16650 Ne 79Th St Ste 100, Redmond, WA and can be reached out via phone at 425-558-4562.

Location: 16650 Ne 79Th St Ste 100, Redmond, WA, 98052-4442
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1427715184
Provider Name
Stephanie Su Dds Pllc
Credential
Provider Entity Type
Organization
Address
16650 Ne 79Th St Ste 100, Redmond, WA, 98052-4442
Phone Number
425-558-4562
Fax Number
Provider Enumeration Date
11/17/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1134204191 01 NPPES
institution
Provider Business Practice Location Address Details
Address
16650 Ne 79Th St Ste 100
City
Redmond
State
Washington
Zip
98052-4442
Phone Number
425-558-4562
Fax Number
person
Provider Business Mailing Address Details
Address
16650 Ne 79Th St Ste 100
City
Redmond
State
Washington
Zip
98052-4442
Phone Number
425-558-4562
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
()
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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