Individual
DR. SUSAN LEIVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
2 CENTRE DR STE 300, MONROE TOWNSHIP, NJ 08831-1564
(609) 409-1700
(609) 409-1702
Mailing address
2 CENTRE DR STE 300, MONROE TOWNSHIP, NJ 08831-1564
(609) 409-1700
(609) 409-1702
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
17000
NJ
Other
Enumeration date
03/26/2007
Last updated
06/15/2023
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