Individual
DR. CRISTIANO SUSIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1120 15TH ST # AD1430, MCG SCHOOL OF DENTISTRY DEPT PERIODONTICS, AUGUSTA, GA 30912-0004
(706) 241-2441
(706) 721-2441
Mailing address
1120 15TH ST # AD1430, MCG SCHOOL OF DENTISTRY DEPT PERIODONTICS, AUGUSTA, GA 30912-0004
(706) 241-2441
(706) 721-2441
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
CRORS11637
ZZ
Other
Enumeration date
09/09/2010
Last updated
09/09/2010
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