Organization · Type 2 NPI
Jui-Min Su, D.d.s., M.s., Professional Corporation
Dental Clinic/Center · Ontario, CA
NPI number
1184938532
Active
Practice location
4275 Concours Ste 105
Ontario, CA 91764-5901
Mailing address
6817 Raspberry Ct
Corona, CA 92880-7297
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 57138 (CA) |
Dental Clinic/Center: Definition to come...
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About NPI 1184938532
Jui-Min Su, D.d.s., M.s., Professional Corporation's National Provider Identifier is 1184938532, issued on Jul 27, 2010. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Ontario, CA. The record was last updated on Jul 27, 2010.