Individual
SUSAN L ROYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
9291 E 109TH AVE, CROWN POINT, IN 46307-8676
(219) 663-4024
Mailing address
2587 W 65TH AVE, MERRILLVILLE, IN 46410-2833
(219) 663-4024
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
019022078
IL
1223G0001X
General Practice Dentistry
Primary
12009289
IN
Other
Enumeration date
06/20/2008
Last updated
08/04/2014
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