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Organization

SUSAN A SHEETS DDS A PROFESSIONAL DENTAL CORPORATION

Active
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Organization

SUSAN A SHEETS DDS A PROFESSIONAL DENTAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SUSAN ANN SHEETS DDS (OWNER/PROVIDER)
(310) 525-0556
Entity
Organization

Contact information

Practice address
131 W GRAND AVE STE B2, EL SEGUNDO, CA 90245-4243
(310) 832-2657
Mailing address
2515 S WESTERN AVE STE 109, SAN PEDRO, CA 90732-4643
(310) 832-2657
(310) 832-5164

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
NULL
1223G0001X
General Practice Dentistry
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X2210X
Orofacial Pain Dentistry
Primary
—
NULL
1223X2210X
Orofacial Pain Dentistry
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
NULL

Other

Enumeration date
06/01/2015
Last updated
06/01/2026
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