Individual
DR. SUSAN M NISSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2052 LAWRENCEVILLE SUWANEE RD, SUITE A, SUWANEE, GA 30024-2647
(770) 962-8253
Mailing address
2052 LAWRENCEVILLE SUWANEE RD, SUITE A, SUWANEE, GA 30024-2647
(770) 962-8253
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN010506
GA
Other
Enumeration date
12/19/2006
Last updated
07/08/2007
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