| Lan Su Dmd Phd | |
|
31332 Via Colinas Suite 109 Westlake Village CA 91362-3910 | |
| (818) 865-1039 | |
| (818) 865-8375 |
| Full Name | Lan Su Dmd Phd |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Pathology |
| Location | 31332 Via Colinas, Westlake Village, California |
| Authorized Official Name and Position | Lan Su (OWNER DOCTOR) |
| Authorized Official Contact | 8188651039 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lan Su Dmd Phd 31332 Via Colinas Suite 109 Westlake Village CA 91362-3910 Ph: (818) 865-1039 | Lan Su Dmd Phd 31332 Via Colinas Suite 109 Westlake Village CA 91362-3910 Ph: (818) 865-1039 |
| NPI Number | 1164472353 |
|---|---|
| Provider Enumeration Date | 05/11/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164472353 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0106X | Dentist - Oral And Maxillofacial Pathology | 46977 (California) | Primary |
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