Individual
DR. SUSAN ANN SHEETS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
131 W GRAND AVE STE B2, EL SEGUNDO, CA 90245-4243
(628) 758-7563
Mailing address
2515 S WESTERN AVE STE 109, SAN PEDRO, CA 90732-4643
(310) 832-2657
(310) 832-5164
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
36196
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
36196
CA
1223X2210X
Orofacial Pain Dentistry
Primary
36196
CA
Other
Enumeration date
07/28/2006
Last updated
06/01/2026
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