Organization
SUZANNE R MEGENITY DDS PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUZANNE R MEGENITY DDS (DR)
(360) 423-4313
Entity
Organization
Contact information
Practice address
1801 1ST AVENUE SUITE 2A, LONGVIEW, WA 98632
(360) 423-4313
(360) 425-1965
Mailing address
1801 1ST AVENUE SUITE 2A, LONGVIEW, WA 98632
(360) 423-4313
(360) 425-1965
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DE00005356
WA
Other
Enumeration date
08/21/2006
Last updated
08/22/2020
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