Provider Demographics
NPI:1154429306
Name:SUCIU, ZOE CRISTINA (DDS)
Entity type:Individual
Prefix:MRS
First Name:ZOE
Middle Name:CRISTINA
Last Name:SUCIU
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7424 JACKSON DR
Mailing Address - Street 2:#6
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92119
Mailing Address - Country:US
Mailing Address - Phone:619-463-9253
Mailing Address - Fax:619-463-9253
Practice Address - Street 1:7424 JACKSON DR
Practice Address - Street 2:#6
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92119
Practice Address - Country:US
Practice Address - Phone:619-463-9253
Practice Address - Fax:619-463-9253
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA39090122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist