Individual
DR. SUSAN H. MAUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1003 W TOLEDO STREET, FREMONT, IN 46737
(260) 495-2255
(260) 495-9023
Mailing address
340 LANE 150 LITTLE OTTER LK, FREMONT, IN 46737-9793
(260) 833-2886
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12008007A
IN
Other
Enumeration date
08/14/2006
Last updated
07/08/2007
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