Individual
SUZANNE CHANTEL SETAYESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1501 DIVISION ST, BALTIMORE, MD 21217-3121
(410) 383-8300
(301) 838-3160
Mailing address
1501 DIVISION ST, BALTIMORE, MD 21217-3121
(410) 383-8300
(301) 838-3160
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12068
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031395500
—
MD
Enumeration date
11/14/2007
Last updated
01/02/2024
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