Individual
DR. SUSAN M DENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
8150 MOORSBRIDGE ROAD, SUITE A, PORTAGE, MI 49024
(269) 327-3400
(269) 327-6810
Mailing address
8150 MOORSBRIDGE ROAD, SUITE A, PORTAGE, MI 49024
(269) 327-3400
(269) 327-6810
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901012474
MI
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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