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Individual
DR. SUSAN ROSHAN
Active
Individual
DR. SUSAN ROSHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
23018
TX
1223G0001X
General Practice Dentistry
5349
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
344998501
—
TX
Enumeration date
12/15/2008
Last updated
06/17/2020
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