Organization
SUSAN M DO DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN DO DDS (OWNER DENTIST)
(951) 508-0001
Entity
Organization
Contact information
Practice address
308 W 6TH ST # 203, CORONA, CA 92882-3349
(951) 508-0001
(951) 508-0004
Mailing address
308 W 6TH ST # 203, CORONA, CA 92882-3349
(951) 508-0001
(951) 508-0004
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101432
DL
CA
Enumeration date
12/05/2025
Last updated
03/12/2026
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