IndividualActive
Huan Su, D.D.S.
NPI 1194058669 · Periodontics · Tacoma, WA
Provider details
- NPI number
- 1194058669
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- DE60101496 (WA)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
2302 S Union Ave
Building C Suite 22
Tacoma, WA 98405-1300
Phone: (253) 752-6336
Approximate (ZIP-level) locationGet directions
Mailing address
1400 Lake Washington Blvd N
Renton, WA 98056-2564
Registry dates
- Enumerated
- 2009-09-15
- Last updated
- 2009-09-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.