Organization
SUSAN L ROYER DDS PROFESSIONAL CORPORATION
Active
Other names
Susan L Royer DDS PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN ROYER DDS (OWNER/CEO)
(219) 663-4024
Entity
Organization
Contact information
Practice address
9291 E 109TH AVE, CROWN POINT, IN 46307-8676
(219) 663-4024
Mailing address
2587 W 65TH AVE, MERRILLVILLE, IN 46410-2833
(219) 663-4024
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
019022078
IL
261QD0000X
Dental Clinic/Center
Primary
12009289
IN
Other
Enumeration date
08/04/2014
Last updated
08/04/2014
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