Individual
MISS SUZANNE ELIZABETH CLEARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
5270 W BASELINE RD STE 130, LAVEEN, AZ 85339-6959
(602) 237-8182
Mailing address
835 W WARNER RD # 101-203, GILBERT, AZ 85233-7269
(480) 202-7049
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H4963
AZ
Other
Enumeration date
07/02/2009
Last updated
07/02/2009
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