Individual
SUSAN SMALLEGAN MAPLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS MSBA
Contact information
Practice address
2101 NORTH AURELIUS RD STE 1, HOLT, MI 48842-1380
(517) 694-0353
(517) 694-2001
Mailing address
2101 NORTH AURELIUS RD STE 1, HOLT, MI 48842-1380
(517) 694-0353
(517) 694-2001
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14140
MI
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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