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Organization
DR. SUSAN P EDDLEMAN
Active
Organization
DR. SUSAN P EDDLEMAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN EDDLEMAN DDS (DENTIST)
(660) 744-5391
Entity
Organization
Contact information
Practice address
204 S MAIN ST, ROCK PORT, MO 64482-1532
(660) 744-5391
(660) 744-5301
Mailing address
204 S MAIN ST, PO BOX 282, ROCK PORT, MO 64482-1532
(660) 744-5391
(660) 744-5301
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
14169
MO
Other
Enumeration date
01/20/2010
Last updated
01/20/2010
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