Individual
SUSANNA YVONNE SHAROSSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4500 8TH DIVISION RD, COLUMBIA, SC 29207-5700
(803) 751-5688
Mailing address
139 ASHEWOOD LAKE DR, COLUMBIA, SC 29209-2725
(317) 727-1062
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12014760A
IN
Other
Enumeration date
06/12/2025
Last updated
06/12/2025
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