# SUZANNE K OTTO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1578894820
- **Gender:** F
- **Credential:** DENTAL HYGENIST

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 124Q00000X | Dental Hygienist | 020.012262 | IL | — |
| 124Q00000X | Dental Hygienist | 10133-16 | WI | Yes |

## Other

- **Enumeration date:** 01/27/2010
- **Last updated:** 01/27/2010