Individual
SUSAN MARIE MEDCALF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1371 N COUNTRYSIDE DR, JUNIATA, NE 68955-3118
(402) 902-8302
Mailing address
1371 N COUNTRYSIDE DR, JUNIATA, NE 68955-3118
(402) 902-8302
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
1239
NE
Other
Enumeration date
10/08/2012
Last updated
10/08/2012
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