Individual
SUSAN J. IZZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSDH
Contact information
Practice address
212 S PERKASIE RD, PERKASIE, PA 18944-2454
(215) 258-5155
Mailing address
212 S PERKASIE RD, PERKASIE, PA 18944-2454
(215) 258-5155
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH-005665L
PA
Other
Enumeration date
10/21/2010
Last updated
10/21/2010
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