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Shao-ching Su, DDS,PHD
Student in an Organized Health Care Education/Training Program in Farmington, Connecticut
NPI 1972912061

Shao-ching Su is a Student in an Organized Health Care Education/Training Program based in Farmington, CT. Shao-ching Su practices in Farmington, CT and has the professional credentials of DDS,PHD. The NPI Number for Shao-ching Su is 1972912061 and holds a License No. (Connecticut).

The current practice location address for Shao-ching Su is 263 Farmington Avenue, Farmington, CT and can be reached out via phone at 860-679-2000.

Location: 263 Farmington Avenue, Farmington, CT, 06030-1725
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972912061
Provider Name
Shao-ching Su
Credential
DDS,PHD
Provider Entity Type
Individual
Gender
Male
Address
263 Farmington Avenue, Farmington, CT, 06030-1725
Phone Number
860-679-2000
Fax Number
Provider Enumeration Date
08/04/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
263 Farmington Avenue
City
Farmington
State
Connecticut
Zip
06030
Phone Number
860-679-2000
Fax Number
person
Provider Business Mailing Address Details
Address
263 Farmington Avenue
City
Farmington
State
Connecticut
Zip
06030
Phone Number
860-679-2000
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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