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General NPI Number Information
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NPI Number | 1154198109
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Entity Type | Organization
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Legal Business Name | MICHAEL SUH DDS DENTAL PRACTICE PC
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Dates
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Enumeration Date | 12/11/2023
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Last Update Date | 12/11/2023
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Provider Practice Location Address
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Address Line | 33800 ALVARADO NILES RD STE 7
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City | UNION CITY
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State | CA
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Zip | 94587-4359
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Country | US
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Telephone | 510-477-6727
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Fax |
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Provider Business Mailing Address
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Address Line | 33800 ALVARADO NILES RD STE 7
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City | UNION CITY
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State | CA
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Zip | 94587-4359
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Country | US
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Telephone | 510-477-6727
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Fax |
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Authorized Official
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Title or Position | OWNER, PEDIATRIC DENTIST
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Name | DR. MICHAEL SUH
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Credential | DDS
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Telephone | 408-891-2867
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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