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Individual
SUSANNAH MARTHA MITCHELL
Active
Individual
SUSANNAH MARTHA MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
10704
CO
122300000X
Dentist
24179
TX
122300000X
Dentist
9121
KY
1223G0001X
General Practice Dentistry
Primary
31661
TX
Other
Enumeration date
11/18/2011
Last updated
04/22/2025
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