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Dr. Jie Su, DMD
Pediatric Dentist in Plano, Texas
NPI 1891995783

Jie Su is a Pediatric Dentist based in Plano, TX and is specialized in Pediatric Dentistry. Jie Su practices in Plano, TX and has the professional credentials of DMD. The NPI Number for Jie Su is 1891995783 and holds a License No. 23596 (Texas).

The current practice location address for Jie Su is 4500 Legacy Dr, Plano, TX and can be reached out via phone at 972-618-2958.

Location: 4500 Legacy Dr, Plano, TX, 75093-5953
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891995783
Provider Name
Jie Su
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
4500 Legacy Dr, Plano, TX, 75093-5953
Phone Number
972-618-2958
Fax Number
Provider Enumeration Date
07/19/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4500 Legacy Dr
City
Plano
State
Texas
Zip
75024-2179
Phone Number
972-618-2958
Fax Number
person
Provider Business Mailing Address Details
Address
4500 Legacy Dr
City
Plano
State
Texas
Zip
75024-2179
Phone Number
972-618-2958
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
23596 (Texas)
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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