Individual
DR. THOMAS W SURBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7891 BROADWAY, SUITE F, MERRILLVILLE, IN 46410-5556
(219) 769-6691
(219) 756-6050
Mailing address
7891 BROADWAY, SUITE F, MERRILLVILLE, IN 46410-5556
(219) 769-6691
(219) 756-6050
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12007670
IN
Other
Enumeration date
09/19/2013
Last updated
09/19/2013
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