Individual
DR. ISHA SURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
379 5TH AVE, BROOKLYN, NY 11215-3303
(917) 397-1341
Mailing address
2630 BISSONNET ST, HOUSTON, TX 77005-1347
(214) 796-9031
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
32710
TX
1223P0221X
Pediatric Dentistry
Primary
059686
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/11/2015
Last updated
10/17/2022
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