Individual
DR. SUSAN ANN RECTOR
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2305 EAST 52 STREET, SUITE 1, DAVENPORT, IA 52807
(563) 355-9424
(563) 355-0180
Mailing address
2305 EAST 52 STREET, SUITE 1, DAVENPORT, IA 52807
(563) 355-9424
(563) 355-0180
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
7839
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0205898
—
IA
Enumeration date
02/24/2006
Last updated
07/08/2007
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