Su-En C Thlick, Dmd
NPI #1023207792 in Woodbridge, Virginia
Provider Information
- NPI Number
- 1023207792
- Entity Type
- Organization
- Organization Name
- Su-En C Thlick, Dmd
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 18, 2007
- Last Updated
- Oct 18, 2007
Practice Location
- Address
- 12701 MARBLESTONE DR
- Address 2
- SUITE #260
- City
- Woodbridge
- State
- Virginia
- ZIP Code
- 22192-8307
- Phone
- (703) 670-2114
Authorized Official
- Name
- DR. SU-EN C THLICK, DMD
- Title
- DENTIST/ OWNER
- Phone
- (703) 670-2114
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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