Individual
DR. PETER B. SUSANIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
227 W LANCASTER AVE, DEVON, PA 19333-1555
(610) 687-0339
Mailing address
227 W LANCASTER AVE, DEVON, PA 19333-1555
(610) 687-0339
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DS025547L
PA
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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