Individual
PAMELA ARATHI SUSAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
111 MAIN ST, WADSWORTH, OH 44281-1433
(330) 336-5788
(330) 334-1425
Mailing address
1186 ALEXANDRIA LANE, MEDINA, OH 44256
(330) 347-6769
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30023380
OH
Other
Enumeration date
10/25/2011
Last updated
12/31/2012
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