Individual
DR. SUSAN LYNN CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
912 RIVER ST, HYDE PARK, MA 02136-3715
(781) 514-5044
Mailing address
912 RIVER ST, HYDE PARK, MA 02136-3715
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1857200
MA
Other
Enumeration date
07/12/2016
Last updated
07/12/2016
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