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Individual

DR. LOUIS W SUSI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS,MS

Contact information

Practice address
7334 E BROAD ST, SUITE C, BLACKLICK, OH 43004-9239
(614) 577-1100
Mailing address
7334 E. BROAD STREET, SUITE C, BLACKLICK, OH 43004
(614) 487-8016

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
21826
OH

Other

Enumeration date
02/21/2007
Last updated
07/08/2007
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