Most Relevant Information
Provider Data
| NPI Number: | 1003284969 |
| Provider Name: | EUNJIN M SUH DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | D30956 |
Most Important Dates
| Enumeration Date: | 09/09/2015 |
| Last Updated: | 09/09/2015 |
Provider Practice Location
5416 BASSWOOD BLVD
FORT WORTH
TX
761374400
Practice Location Phone/Fax
| Phone: | 8176561215 |
| Fax: | 8772308349 |
Provider Mailing Location
500 N TARRANT PKWY APT 122
KELLER
TX
762485677
Provider Mailing Phone/Fax
| Phone: | 5127883705 |
| Fax: |