Individual
DR. SUSAN WRIGHT MONGEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MPH
Contact information
Practice address
2200 BERGQUIST DR STE 1, LACKLAND AFB, TX 78236-9908
(210) 925-1846
Mailing address
2200 BERGQUIST DR STE 1, LACKLAND AFB, TX 78236-9908
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
DN010346
GA
1223D0001X
Public Health Dentistry
DN11320
FL
Other
Enumeration date
11/14/2008
Last updated
11/14/2008
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