Individual
DR. CONNIE SUAH SHIM MIDDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
1234 E DUPONT RD STE 4, FORT WAYNE, IN 46825-1545
(260) 490-3495
(260) 497-0540
Mailing address
1234 E DUPONT RD STE 4, FORT WAYNE, IN 46825-1545
(260) 490-3495
(260) 497-0540
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12011842A
IN
Other
Enumeration date
07/03/2012
Last updated
07/03/2012
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