Individual
DR. ERIC MICHAEL SURAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2502 BROADWAY AVE SW, ROANOKE, VA 24014-1663
(540) 344-6003
(540) 344-6003
Mailing address
2502 BROADWAY AVE SW, ROANOKE, VA 24014-1663
(540) 344-6003
(540) 344-6003
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401006585
VA
Other
Enumeration date
02/26/2008
Last updated
02/26/2008
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