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Individual

MRS. SUSAN ELIZABETH SLADE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.D.H.

Contact information

Practice address
711 STONY POINT RD, SANTA ROSA, CA 95407-6802
(707) 578-2005
Mailing address
3569 ROUND BARN CIR, SANTA ROSA, CA 95403-5781
(707) 303-3600

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
13202
CA

Other

Enumeration date
07/26/2013
Last updated
07/26/2013
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