Individual
JUSTIN CLAYTON SUGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3101 S WESTERN AVE, MARION, IN 46953-3966
(765) 662-1022
Mailing address
1511 N TUXEDO ST, INDIANAPOLIS, IN 46201-1475
(219) 331-8099
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12013487A
IN
Other
Enumeration date
09/07/2020
Last updated
09/19/2020
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