Individual
DR. SUSAN ELIZABETH BLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14070 COMMERCE AVE NE STE 100, PRIOR LAKE, MN 55372-1424
(952) 440-3222
Mailing address
14070 COMMERCE AVE NE STE 100, PRIOR LAKE, MN 55372-1424
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9684
MN
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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