Individual
SUZANNE MEGENITY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1801 1ST AVENUE, SUITE 2A, LONGVIEW, WA 98632
(360) 423-4313
Mailing address
1801 1ST AVENUE, SUITE 2A, LONGVIEW, WA 98632
(360) 423-4313
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DE00005363
WA
Other
Enumeration date
06/03/2013
Last updated
06/03/2013
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