Individual
SUSAN CAROLYN BESTGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
150 S HUNTINGTON AVE, DENTAL SERVICE (160), JAMAICA PLAIN, MA 02130-4817
(617) 232-9500
(857) 364-2040
Mailing address
57 COTTAGE RD, WEST ROXBURY, MA 02132-5606
(617) 325-0332
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
18312
MA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DS-026019
PA
Other
Enumeration date
07/30/2006
Last updated
07/08/2007
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