Individual
LINDA R SURALIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
7156 STENTON AVE, PHILA, PA 19150-3428
(215) 242-3397
(215) 242-1171
Mailing address
7715 CRITTENDEN ST, #336, PHILA, PA 19118-4421
(215) 242-3397
(215) 242-1171
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DS029075-L
PA
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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