Individual
DR. AJAY SURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
36 RAHLING CIR, LITTLE ROCK, AR 72223-9191
(501) 821-5859
(501) 588-3455
Mailing address
PO BOX 241534, LITTLE ROCK, AR 72223-0010
(501) 821-5859
(501) 588-3455
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
20901
TX
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3513 / 109
AR
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
7493
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164867608
—
AR
Enumeration date
06/26/2006
Last updated
09/19/2023
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