Individual
DR. SUSAN MARIE CEBULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
650 HUEBNER RD, FORT RILEY, KS 66442-4030
(785) 240-7443
Mailing address
650 HUEBNER RD, FORT RILEY, KS 66442-4030
(785) 240-7443
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS031135L
PA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS031135L
PA
Other
Enumeration date
12/23/2005
Last updated
01/31/2023
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