Individual
DR. SUSAN ELLEN VICKERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD,MS
Contact information
Practice address
6512A DEER POINTE DR, SALISBURY, MD 21804-1669
(410) 749-0009
Mailing address
29913 WINCHESTER CT, SALISBURY, MD 21804-2401
(410) 334-6632
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
12543
MD
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12543
MD
Other
Enumeration date
02/28/2006
Last updated
03/28/2017
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