Individual
DR. SUSANNAH SHOOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3221 AUDUBON DR, LAUREL, MS 39440-1422
(601) 649-3900
Mailing address
3221 AUDUBON DR, LAUREL, MS 39440-1422
(601) 649-3900
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3376-06
MS
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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