Dr. Susan K Anderson, DMD
Dentist, General Practice in Duluth, GA. Individual provider (NPI-1).
NPI number1962555151
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1962555151
- Entity type
- Individual (NPI-1)
- Name
- Dr. Susan K Anderson
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 19, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 10853 | GA | Yes |
Practice location
2925 Premiere ParkwaySuite 165
Duluth, GA 30097
Phone 678-417-9656
Mailing address
2925 Premiere ParkwaySuite 165
Duluth, GA 30097
Phone 678-417-9656
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