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General NPI Number Information
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NPI Number | 1992048318
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Entity Type | Organization
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Legal Business Name | DAVID C SUH D D S INC
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Dates
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Enumeration Date | 04/03/2013
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Last Update Date | 09/30/2021
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Provider Practice Location Address
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Address Line | 3655 LOMITA BLVD STE 217
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City | TORRANCE
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State | CA
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Zip | 90505-3958
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Country | US
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Telephone | 310-326-8572
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Fax | 310-326-1991
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Provider Business Mailing Address
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Address Line | 3655 LOMITA BLVD STE 217
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City | TORRANCE
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State | CA
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Zip | 90505-3958
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Country | US
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Telephone | 310-326-8572
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Fax | 310-326-1991
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID C SUH
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Credential | DDS
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Telephone | 310-326-9572
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 51197
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 261QS0112X
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Taxonomy Name | Oral and Maxillofacial Surgery Clinic/Center
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License Number |
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License Number State |
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