Individual
DR. SUSAN PODRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3195 TRAMMEL RD, SUITE 400, CUMMING, GA 30041-1335
(678) 787-3863
Mailing address
3195 TRAMMEL RD, SUITE 400, CUMMING, GA 30041-1335
(678) 787-3863
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS037892
PA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN014467
GA
Other
Enumeration date
06/24/2009
Last updated
01/24/2013
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