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PETER SUKMAN SUH DMD

Pediatric Dentistry >> Dentist >> Dental Providers

Registrant NPI Number: 1124234752

Individual Registrant:
 PETER SUKMAN SUH DMD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1346 FOOTHILL BLVD SUITE 305 LA CANADA FLINTRIDGE, CA 91011 US
Tel: 818-790-5959  Fax: 818-790-6399

Contact information for business:
1346 FOOTHILL BLVD SUITE 305 LA CANADA FLINTRIDGE, CA 91011 US
Tel: 818-790-5959  Fax: 818-790-6399

Registration Information:
NPI: 1124234752
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223P0221XDental Providers
Dentist
Pediatric Dentistry
CACA 42425

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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