Individual
SUSAN TERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
11846 PERDUE SPRINGS CT, CHESTER, VA 23831-2164
(804) 748-4546
Mailing address
11846 PERDUE SPRINGS CT, CHESTER, VA 23831-2164
(804) 748-4546
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401007279
VA
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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