Most Relevant Information
Provider Data
| NPI Number: | 1003441890 |
| Provider Name: | ETHAN SUH DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 35774 |
Most Important Dates
| Enumeration Date: | 03/11/2020 |
| Last Updated: | 01/11/2021 |
Provider Practice Location
430 MEYER ST
SEALY
TX
774742744
Practice Location Phone/Fax
| Phone: | 9793998267 |
| Fax: |
Provider Mailing Location
24151 BELLA DOLCE LN APT 609
KATY
TX
774947906
Provider Mailing Phone/Fax
| Phone: | 2147904691 |
| Fax: |