Individual
DR. SUSAN HELEN CARRON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
D.D.S., M.S.
Contact information
Practice address
40105 GRAND RIVER AVE, SUITE 2, NOVI, MI 48375-2115
(248) 478-3232
(248) 478-8018
Mailing address
40105 GRAND RIVER AVE, SUITE 2, NOVI, MI 48375-2115
(248) 478-3232
(248) 478-8018
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
2901011539
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
613152
UNITED CONCORDIA
MI
01
—
D802-825
BLUE CROSS BLUE SHIELD
MI
Enumeration date
05/23/2006
Last updated
07/08/2007
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