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Organization
DR. SUESS FAMILY DENTAL PC
Active
Organization
DR. SUESS FAMILY DENTAL PC
Active
Other names
Clackamas Smiles Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMY C SUESS DDS (PRESIDENT)
(503) 786-3000
Entity
Organization
Contact information
Practice address
10001 SE SUNNYSIDE RD, STE 250, CLACKAMAS, OR 97015-5746
(503) 786-3000
(503) 786-3501
Mailing address
10001 SE SUNNYSIDE RD, STE 250, CLACKAMAS, OR 97015-5746
(503) 786-3000
(503) 786-3501
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D9491
OR
Other
Enumeration date
05/10/2016
Last updated
05/10/2016
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