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Individual

DR. SUZANNE ELIZABETH BIRD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS, MS

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
7109
NC
1223P0221X
Pediatric Dentistry
Primary
7109
NC
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
7109
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5909061
NC
Enumeration date
05/03/2006
Last updated
07/18/2013
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