Organization
SUSAN L SOCKWELL DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN L SOCKWELL (OWNER)
(706) 867-9553
Entity
Organization
Contact information
Practice address
104 ANSLEY DR, DAHLONEGA, GA 30533-1614
(706) 867-9553
Mailing address
104 ANSLEY DR, P O BOX 125, DAHLONEGA, GA 30533-1614
(706) 867-9553
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
011119
GA
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
05/26/2014
Last updated
08/20/2014
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