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JUI-MIN SU D.D.S. M.S. PROFESSIONAL CORPORATION NPI 1184938532


NPI Information

NPI: 1184938532
Provider Name: JUI-MIN SU, D.D.S., M.S., PROFESSIONAL CORPORATION

Doing Business As: PURITY AND WELLNESS DENTISTRY

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
4275 CONCOURS STE 105
ONTARIO, CA
ZIP 91764
Phone: (951) 736-0876
Get Directions

JUI-MIN SU, D.D.S., M.S., PROFESSIONAL CORPORATION is a dental clinic center in Ontario, CA. JUI-MIN SU, D.D.S., M.S., PROFESSIONAL CORPORATION NPI is 1184938532. The provider is registered as an organization entity type.
The provider Is Doing Business As Purity And Wellness Dentistry.

The provider's business location address is:

4275 CONCOURS STE 105
ONTARIO, CA
ZIP 91764-901
Phone: (951) 736-0876

The provider's authorized official is Jui-min Su .
The authorized official title is President and has the following contact phone number (951) 736-0876.

The enumeration date for this NPI number is 7/27/2010 and was last updated on 7/27/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QD0000XClinic/CenterDental57138CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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