Individual
SUSAN CAROLYN BESTGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
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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