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Organization
SUZANNE BIRD PLLC
Active
Organization
SUZANNE BIRD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY GARCIA-ROCHA (SR CREDENTIALING TEAM LEAD)
(972) 869-3789
Entity
Organization
Contact information
Practice address
16607 RIVERSTONE WAY STE 300, CHARLOTTE, NC 28277-5750
(704) 544-5000
(704) 544-5003
Mailing address
16607 RIVERSTONE WAY STE 300, CHARLOTTE, NC 28277-5750
(704) 544-5000
(704) 544-5003
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/19/2023
Last updated
10/19/2023
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