Provider Demographics
NPI:1912428541
Name:SU, TING YU (DMD)
Entity Type:Individual
Prefix:
First Name:TING YU
Middle Name:
Last Name:SU
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8210 FLOYD CURL DRIVE, MSC 8103
Mailing Address - Street 2:UT HEALTH SCIENCE CENTER AT SAN ANTONIO
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3923
Mailing Address - Country:US
Mailing Address - Phone:210-450-3273
Mailing Address - Fax:210-450-2223
Practice Address - Street 1:8210 FLOYD CURL DRIVE, MSC 8103
Practice Address - Street 2:UT HEALTH SCIENCE CENTER AT SAN ANTONIO AGDC
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3923
Practice Address - Country:US
Practice Address - Phone:210-450-3273
Practice Address - Fax:210-450-2223
Is Sole Proprietor?:No
Enumeration Date:2017-07-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX32529390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program