Individual
DR. SUZANNE MOTWALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1253 W PRATT ST, BALTIMORE, MD 21223-2684
(410) 727-4746
(410) 727-6767
Mailing address
2221 E BIJOU ST STE 100, COLORADO SPRINGS, CO 80909-8009
(719) 576-1850
(719) 955-3470
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16705
MD
1223G0001X
General Practice Dentistry
30217
TX
1223G0001X
General Practice Dentistry
6524
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14478197
CAQH
—
Enumeration date
07/09/2014
Last updated
07/15/2019
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