Su, Audrey
Su, Audrey is an individual health care provider with primary practice located at 532 S Oxford Valley Rd Deon Square, Fairless Hills PA 19030-2615. She recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is her primary health care specialty. Su, Audrey can be contacted via phone (215) 946-3655.Contact Information
Primary practice address
532 S Oxford Valley Rd Deon Square
Fairless Hills PA 19030-2615
Phone: (215) 946-3655
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 30990 | Texas |
| Dental Providers / Dentist | 122300000X | DS040745 | Pennsylvania |
Profile Details
| NPI number | 1295116416 |
|---|---|
| LBN Legal business name | Su, Audrey |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2015 |
| Last updated | May 26th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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