Individual
DR. SUSAN SCHAUMBURG RESTIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
10209 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9782
(503) 353-3900
Mailing address
4350 LAKEVIEW BLVD, LAKE OSWEGO, OR 97035-5555
(503) 675-1398
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6729
OR
Other
Enumeration date
07/17/2006
Last updated
07/08/2007
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