Individual
SUSAN DEWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5030 W BASELINE RD STE 131, LAVEEN, AZ 85339-7331
(602) 237-8880
Mailing address
5030 W BASELINE RD STE 131, LAVEEN, AZ 85339-7331
(022) 378-8806
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D011528
AZ
Other
Enumeration date
07/03/2019
Last updated
06/12/2023
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