Individual
DR. HARLYN KAUR SUSARLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, MPH
Contact information
Practice address
111 SE EVERETT MALL WAY, EVERETT, WA 98208-3208
(425) 212-1810
Mailing address
111 SE EVERETT MALL WAY, EVERETT, WA 98208-3208
(425) 212-1810
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
15669
MD
122300000X
Dentist
Primary
DE60654328
WA
Other
Enumeration date
04/23/2014
Last updated
08/01/2016
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