Individual provider · Type 1 NPI

Huan Su, DDS

Periodontics · Tacoma, WA

NPI number 1194058669 Active

Practice location

2302 S Union Ave, Building C Suite 22
Tacoma, WA 98405-1300

Mailing address

1400 Lake Washington Blvd N, Apt A302
Renton, WA 98056-2564

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000XDE60101496 (WA)
Periodontics Primary 1223P0300XDE60101496 (WA)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1194058669

Huan Su, DDS's National Provider Identifier is 1194058669, issued on Sep 15, 2009. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Tacoma, WA. The record was last updated on Sep 15, 2009.