Individual
DR. MARC L. SUSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
810 N YORK ST, MUSKOGEE, OK 74403-3863
(918) 683-8844
(918) 683-3399
Mailing address
810 N YORK ST, MUSKOGEE, OK 74403-3863
(918) 683-8844
(918) 683-3399
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4774
OK
Other
Enumeration date
10/12/2005
Last updated
07/08/2007
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